Organization Active NPI

Ridgefield Therapeutic Massage LLC

  • Massage Therapist
  • Ridgefield, WA
National Provider Identifier
1629664727
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
RIDGEFIELD THERAPEUTIC MASSAGE LLC
Practice address
255 S 47TH Ave Ste 125
Ridgefield, WA 98642-7781
Phone
(509) 981-0801
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Misty Price, LMTNPI 1366692196
Title
Owner LMT
Phone
(509) 981-0801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

255 S 47TH Ave Ste 125
Ridgefield, WA 98642-7781

Mailing address

4593 N Noble Loop
Ridgefield, WA 98642-7858
Phone (509) 981-0801

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ridgefield

National Provider Directory

National Provider Directory

Locations

255 S 47th Ave
Ste 125
Ridgefield, WA 98642
Phone (360) 989-8517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1629664727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 N NOBLE LOOP",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427858",
            "telephone_number": "509-981-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 47TH AVE STE 125",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427781",
            "telephone_number": "509-981-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER LMT",
        "authorized_official_telephone_number": "509-981-0801",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ridgefield",
            "affiliation": "N",
            "address_1": "255 S 47th Ave Ste 125",
            "city": "Ridgefield",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986427781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.