Active NPI
Clementina A. Mlay, LMP
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1649446840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- CA240N7
- Practice address
- 1100 Bellevue Way NE
Ste 8
Bellevue, WA 98004-4280 - Phone
- (425) 462-4033
- Fax
- (425) 454-0285
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 | CA240N7 | WA | Primary |
Addresses
Primary practice location
1100 Bellevue Way NE
Ste 8
Bellevue, WA 98004-4280
Mailing address
1100 Bellevue Way NE
Ste 8
Bellevue, WA 98004-4280
Phone (425) 462-4033
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 |
|---|---|---|---|
| CA240N7 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stemm Corporation | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1649446840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BELLEVUE WAY NE",
"address_2": "STE 8",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044280",
"telephone_number": "425-462-4033",
"fax_number": "425-454-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BELLEVUE WAY NE",
"address_2": "STE 8",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044280",
"telephone_number": "425-462-4033",
"fax_number": "425-454-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLAY",
"first_name": "CLEMENTINA",
"middle_name": "A.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "CA240N7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.