Active NPI
Kevin Pedrey, LMP
- Massage Therapist
- Sequim, WA
National Provider Identifier
1639544943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60303219
- Practice address
- 244 W Washington St
Sequim, WA 98382 - Phone
- (360) 477-8553
- Fax
- (360) 443-4203
- NPI assigned
- Dec 11, 2015
- Last updated
- Aug 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | MA60303219 | WA | Primary |
Addresses
Primary practice location
244 W Washington St
Sequim, WA 98382
Mailing address
244 W Washington St
Sequim, WA 98382
Phone (360) 477-8553
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 |
|---|---|---|---|
| MA60303219 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Fitness LLC | Massage Therapist | Current | Accepting new patients |
| Northwest Massage and Holistic Healing Center | Massage Therapist | Past | Accepting new patients |
Locations
244 W Washington St
Sequim, WA 98382
Phone (360) 477-8553
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Sequim, WA
- NPI 1528578796
-
- Massage Therapist
- Sequim, WA
- NPI 1962876409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1639544943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 W WASHINGTON ST",
"city": "SEQUIM",
"state": "WA",
"postal_code": "98382",
"telephone_number": "360-477-8553",
"fax_number": "360-443-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 W WASHINGTON ST",
"city": "SEQUIM",
"state": "WA",
"postal_code": "98382",
"telephone_number": "360-477-8553",
"fax_number": "360-443-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDREY",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-11",
"last_updated": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60303219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sequim, WA
- Terry D Patterson, PT
- Paul B Thompson MD PS Inc (Olympic Dermatology Clinic)
- David Allen Paul, DC
- Pamela Lynne Payne, ARNP
- Peak Performance Therapy LLC
- Peninsula Counseling
- Peninsula Imaging PLLC
- Peninsula Medical Imaging, PLLC
- Chemin Perez, L.M.
- Performance Modalities, Inc. (dba Performance Home Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.