Individual provider Active NPI

Hannah Marie Johnson, LMT, PTA

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1669127692
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00011478 Issued in WA
Practice address
623 W Garland Ave
Spokane, WA 99205-2956
Phone
(509) 209-9488
Fax
(509) 209-9489
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 MA00011478 WA Primary

Addresses

Primary practice location

623 W Garland Ave
Spokane, WA 99205-2956

Mailing address

904 W Eastmont Way
Spokane, WA 99208-6211
Phone (509) 590-7985

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT.com

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
MA00011478WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaramillo Physical Therapy Services CurrentSince Feb 24, 2022 Accepting new patients

Locations

623 W Garland Ave
Spokane, WA 99205
Phone (509) 209-9488

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1669127692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W EASTMONT WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086211",
            "telephone_number": "509-590-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052956",
            "telephone_number": "509-209-9488",
            "fax_number": "509-209-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "LMT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT.com",
            "affiliation": "N",
            "address_1": "623 W Garland Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992052956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 17, 2022; 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.