Individual provider Active NPI

Sarah Smith, MA61308397

  • Massage Therapist
  • Lacey, WA
National Provider Identifier
1609506245
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61308397 Issued in WA
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

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MA61308397WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth W Trapp DC Inc CurrentSince Jun 21, 2022 Accepting new patients
Vert. Fitness & Wellness Center, LLC PastSince Jun 21, 2022 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.

Verify at the official NPI Registry.