Individual provider Active NPI

Sabrina McLendon, LMP

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1669679346
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00022293 Issued in WA
Practice address
4115 S Meridian Ste D
Puyallup, WA 98373-5972
Phone
(360) 504-8169
Fax
(253) 447-1357
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00022293 WA
Massage Therapist 225700000X MA00022293 WA Primary

Addresses

Primary practice location

4115 S Meridian Ste D
Puyallup, WA 98373-5972

Mailing address

4115 S Meridian Ste D
Puyallup, WA 98373-5972
Phone (360) 504-8169

Other identifiers 1

IdentifierTypeStateIssuer
604890096OtherWAAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Puyallup Direct

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
MA00022293WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rody Chiropractic LLC Massage Therapist Past Accepting new patients
Rody Chiropractic Clinic Inc. PastSince Nov 14, 2002 Accepting new patients

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1669679346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 S MERIDIAN STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735972",
            "telephone_number": "360-504-8169",
            "fax_number": "253-447-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 S MERIDIAN STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735972",
            "telephone_number": "360-504-8169",
            "fax_number": "253-447-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLENDON",
        "first_name": "SABRINA",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022293",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "604890096",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Puyallup",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4115 S Meridian Ste D",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983735972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.