Active NPI
Sarah Smith, MA61308397
- Massage Therapist
- Lacey, WA
National Provider Identifier
1609506245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61308397
- Practice address
- 5600 Pacific Ave SE
Lacey, WA 98503-1258 - Phone
- (360) 493-2000
- Fax
- (360) 493-2437
- NPI assigned
- Jun 15, 2022
- 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 | MA61308397 | WA | Primary |
Addresses
Primary practice location
5600 Pacific Ave SE
Lacey, WA 98503-1258
Mailing address
6215 Elm St SE
Tumwater, WA 98501-5377
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | CHIROTOUCH |
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 |
|---|---|---|---|
| MA61308397 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth W Trapp DC Inc | Current | Accepting new patients | |
| Vert. Fitness & Wellness Center, LLC | Past | Accepting new patients |
Locations
5600 Pacific Ave SE
Lacey, WA 98503
Phone (360) 493-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1609506245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 ELM ST SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985015377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 PACIFIC AVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031258",
"telephone_number": "360-493-2000",
"fax_number": "360-493-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SARAH",
"credential": "MA61308397",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61308397",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "CHIROTOUCH",
"affiliation": "N",
"address_1": "5600 Pacific Ave SE",
"city": "Lacey",
"state": "WA",
"country_code": "US",
"postal_code": "985031258",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.