Active NPI
Marlayna Loy Jack, LMP
- Massage Therapist
- Kirkland, WA
National Provider Identifier
1649560145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60205627
- Practice address
- 10827 NE 68TH St
Ste E
Kirkland, WA 98033-4000 - Phone
- (206) 334-9848
- NPI assigned
- Apr 18, 2011
- Last updated
- Apr 18, 2011
- Sex
- Female
- 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 | MA60205627 | WA | Primary |
Addresses
Primary practice location
10827 NE 68TH St
Ste E
Kirkland, WA 98033-4000
Mailing address
6005 185TH CT NE Apt Y204
Redmond, WA 98052-5054
Phone (206) 334-9848
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 |
|---|---|---|---|
| MA60205627 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1649560145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 185TH CT NE APT Y204",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525054",
"telephone_number": "206-334-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10827 NE 68TH ST",
"address_2": "STE E",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334000",
"telephone_number": "206-334-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACK",
"first_name": "MARLAYNA",
"middle_name": "LOY",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60205627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.