Active NPI
Mystie Dawn Ziegler, LMT
- Massage Therapist
- Gig Harbor, WA
National Provider Identifier
1609496496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60995860
- Practice address
- 11515 Burnham Dr
Gig Harbor, WA 98332-8543 - Phone
- (253) 858-5152
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60995860 | WA | Primary |
Addresses
Primary practice location
11515 Burnham Dr
Gig Harbor, WA 98332-8543
Mailing address
3637 SE Engledow LN
Port Orchard, WA 98367-8559
Phone (661) 434-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60995860 | Other | WA | MASSAGE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | harborlifechiro@gmail.com | Health Information Exchange (HIE) | Harbor Life Chiropractic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60995860 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1609496496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 SE ENGLEDOW LN",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983678559",
"telephone_number": "661-434-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11515 BURNHAM DR",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983328543",
"telephone_number": "253-858-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGLER",
"first_name": "MYSTIE",
"middle_name": "DAWN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2023-11-27",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60995860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE",
"identifier": "MA60995860",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "harborlifechiro@gmail.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Harbor Life Chiropractic PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "11515 Burnham Dr",
"city": "Gig Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "983328543",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.