Individual provider Active NPI

Kat R Bluff Bopp, LMT

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1649935248
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61167718 Issued in WA
Practice address
124 E Rowan Ave Ste 202
Spokane, WA 99207-1214
Phone
(509) 487-8000
Fax
(509) 487-6333
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61167718 WA Primary

Addresses

Primary practice location

124 E Rowan Ave Ste 202
Spokane, WA 99207-1214

Mailing address

2312 W College Ave
Spokane, WA 99201-1636
Phone (602) 716-1174

Other identifiers 1

IdentifierTypeStateIssuer
MA61167718OtherWADEPARTMENT OF HEALTH

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

LicenseStateTypeSpecialty
MA61167718WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Spine Center PC CurrentSince Nov 16, 2021 Accepting new patients

Locations

124 E Rowan Ave
Ste 202
Spokane, WA 99207
Phone (509) 484-0095

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1649935248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 W COLLEGE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011636",
            "telephone_number": "602-716-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E ROWAN AVE STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071214",
            "telephone_number": "509-487-8000",
            "fax_number": "509-487-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUFF BOPP",
        "first_name": "KAT",
        "middle_name": "R",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61167718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "MA61167718",
            "state": "WA"
        }
    ],
    "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 Nov 8, 2021; 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.