Active NPI
Scott Tupper, LMP
- Mechanotherapist
- Graham, WA
National Provider Identifier
1659755437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA60419314
- Practice address
- 21715 103Rd Avenue CT E
D-401
Graham, WA 98338-8152 - Phone
- (253) 875-7270
- Fax
- (253) 875-7269
- NPI assigned
- Jul 12, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA60419314 | WA | Primary |
Addresses
Primary practice location
21715 103Rd Avenue CT E
D-401
Graham, WA 98338-8152
Mailing address
21715 103Rd Avenue CT E
D-401
Graham, WA 98338-8152
Phone (253) 875-7270
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 |
|---|---|---|---|
| MA60419314 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436659200000",
"number": "1659755437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21715 103RD AVENUE CT E",
"address_2": "D-401",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388152",
"telephone_number": "253-875-7270",
"fax_number": "253-875-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21715 103RD AVENUE CT E",
"address_2": "D-401",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388152",
"telephone_number": "253-875-7270",
"fax_number": "253-875-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUPPER",
"first_name": "SCOTT",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-12",
"last_updated": "2015-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA60419314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.