Active NPI
Heal Your World Massage Therapy
- Physical Disabilities Residential Treatment Facility
- Newport, WA
National Provider Identifier
1639587306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- MA00013596
- Legal business name
- HEAL YOUR WORLD MASSAGE THERAPY
- Practice address
- 2038 McCloud Creek Rd
Newport, WA 99156-8797 - Phone
- (509) 671-0419
- NPI assigned
- Jul 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edmond D Heaney, LMT
- Title
- Licensed Massage Therapist
- Phone
- (509) 671-0419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | MA00013596 | WA | Primary |
Addresses
Primary practice location
2038 McCloud Creek Rd
Newport, WA 99156-8797
Mailing address
2038 McCloud Creek Rd
Newport, WA 99156-8797
Phone (509) 671-0419
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0317768 | Other | WA | L&I |
| MA00013596 | Other | WA | MASSAGE PRACTITIONER LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406246400000",
"number": "1639587306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 MCCLOUD CREEK RD",
"city": "NEWPORT",
"state": "WA",
"postal_code": "991568797",
"telephone_number": "509-671-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 MCCLOUD CREEK RD",
"city": "NEWPORT",
"state": "WA",
"postal_code": "991568797",
"telephone_number": "509-671-0419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAL YOUR WORLD MASSAGE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-25",
"last_updated": "2014-07-25",
"status": "A",
"authorized_official_last_name": "HEANEY",
"authorized_official_first_name": "EDMOND",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
"authorized_official_telephone_number": "509-671-0419",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "WA",
"license": "MA00013596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0317768",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE PRACTITIONER LICENSE",
"identifier": "MA00013596",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.