Organization Active NPI

Heal Your World Massage Therapy

  • Physical Disabilities Residential Treatment Facility
  • Newport, WA
National Provider Identifier
1639587306
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
MA00013596 Issued in WA
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

Updated by the provider on Jul 25, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0317768OtherWAL&I
MA00013596OtherWAMASSAGE PRACTITIONER LICENSE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.