NPIMap

Individual provider Active NPI

Rachel Rose Moser, MASSAGE PRACTITIONER

  • Massage Therapist
  • Monroe, WA
National Provider Identifier
1619308145
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 00019527 Issued in WA
Practice address
14090 Frylands Blvd
Suite 274
Monroe, WA 98727
Phone
(360) 805-0112
Fax
(425) 487-6818
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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 MA 00019527 WA Primary

Addresses

Primary practice location

14090 Frylands Blvd
Suite 274
Monroe, WA 98727

Mailing address

18920 Bothell Way NE
Suite 100
Bothell, WA 98011-1981
Phone (425) 486-1122

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
MA 00019527WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bothell Regenerative Medicine Past Accepting new patients
Kaufman Chiropractic Clinic Inc PastSince Feb 18, 2013 Accepting new patients

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1619308145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE",
            "address_2": "SUITE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981",
            "telephone_number": "425-486-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 FRYLANDS BLVD",
            "address_2": "SUITE 274",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98727",
            "telephone_number": "360-805-0112",
            "fax_number": "425-487-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "RACHEL",
        "middle_name": "ROSE",
        "credential": "MASSAGE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00019527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.