Active NPI
Sydney Kay Moss, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1669704474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15878
- Practice address
- 7111 NE 62ND Ave
Vancouver, WA 98661-1103 - Phone
- (503) 635-1236
- NPI assigned
- Feb 3, 2010
- Last updated
- Nov 9, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15878 | OR | Primary |
Addresses
Primary practice location
7111 NE 62ND Ave
Vancouver, WA 98661-1103
Mailing address
7111 NE 62ND Ave
Vancouver, WA 98661-1103
Phone (503) 819-6192
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 |
|---|---|---|---|
| 15878 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762646400000",
"number": "1669704474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 NE 62ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986611103",
"telephone_number": "503-819-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 NE 62ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986611103",
"telephone_number": "503-635-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "SYDNEY",
"middle_name": "KAY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2025-11-09",
"certification_date": "2025-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "15878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.