NPIMap

Organization Active NPI

Urban Zen PS

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1649777137
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60711330 Issued in WA
Legal business name
URBAN ZEN PS
Practice address
621 W Mallon Ave Ste 609
Spokane, WA 99201-2164
Phone
(509) 263-6099
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jordan Crogan, MA60711330NPI 1912495698
Title
Owner
Phone
(509) 263-6099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 60711330 WA Primary

Addresses

Primary practice location

621 W Mallon Ave Ste 609
Spokane, WA 99201-2164

Mailing address

1306 E Glencrest Dr
Spokane, WA 99208-9729

National Provider Directory

National Provider Directory

Locations

621 W Mallon Ave
Ste 609
Spokane, WA 99201
Phone (509) 263-6099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1649777137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E GLENCREST DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MALLON AVE STE 609",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012164",
            "telephone_number": "509-263-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN ZEN PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "CROGAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-263-6099",
        "authorized_official_credential": "MA60711330"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60711330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.