Active NPI
Tracy Wright, LMP
- Massage Therapist
- Lakewood, WA
National Provider Identifier
1609932441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00016805
- Practice address
- 7517 Custer Rd W
Lakewood, WA 98499-8138 - Phone
- (253) 473-7777
- NPI assigned
- Dec 28, 2006
- 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 | MA00016805 | WA | Primary |
Addresses
Primary practice location
7517 Custer Rd W
Lakewood, WA 98499-8138
Mailing address
PO Box 5202
Kent, WA 98064-5202
Phone (253) 520-0158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201434 | Other | WA | L & I NUMBER |
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 |
|---|---|---|---|
| MA00016805 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609932441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5202",
"city": "KENT",
"state": "WA",
"postal_code": "980645202",
"telephone_number": "253-520-0158",
"fax_number": "253-854-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7517 CUSTER RD W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998138",
"telephone_number": "253-473-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "TRACY",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00016805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I NUMBER",
"identifier": "0201434",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.