Individual provider Active NPI

Ryu Carter Thomas, LMT

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1669242723
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M616219866 Issued in WA
Practice address
1106 N Washington St Ste D
Spokane, WA 99201-2205
Phone
(509) 795-1888
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X M616219866 WA Primary

Addresses

Primary practice location

1106 N Washington St Ste D
Spokane, WA 99201-2205

Mailing address

2807 E Upriver Dr Apt 2
Spokane, WA 99207-5578
Phone (505) 035-9356

Other practice location 1

3209 E 57th Ave Ste H
Spokane, WA 99223-7040
Phone (509) 283-1472

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
M616219866WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mia'S Massage LLC Single Specialty CurrentSince Mar 31, 2024 Accepting new patients
Mia'S Massage LLC Single Specialty CurrentSince Jan 14, 2024 Accepting new patients

Locations

1106 N Washington St
Ste D
Spokane, WA 99201
Phone (509) 744-1117

Organizations & group practices 2

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1669242723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 E UPRIVER DR APT 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075578",
            "telephone_number": "505-035-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N WASHINGTON ST STE D",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012205",
            "telephone_number": "509-795-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 E 57th Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992237040",
            "country_code": "US",
            "telephone_number": "509-283-1472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RYU",
        "middle_name": "CARTER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "M616219866",
            "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 Jan 8, 2024; 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.