Active NPI
William Peter Feikema, LMP
- Massage Therapist
- North Bend, WA
National Provider Identifier
1679708820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60064539
- Practice address
- 325 Bendigo Blvd N
North Bend, WA 98045-8260 - Phone
- (425) 736-9674
- NPI assigned
- May 18, 2009
- Last updated
- Nov 16, 2016
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60064539 | WA | Primary |
Addresses
Primary practice location
325 Bendigo Blvd N
North Bend, WA 98045-8260
Mailing address
903 Mills PL NE
North Bend, WA 98045-8977
Phone (425) 831-8890
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 |
|---|---|---|---|
| MA 60064539 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1679708820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 MILLS PL NE",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980458977",
"telephone_number": "425-831-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BENDIGO BLVD N",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980458260",
"telephone_number": "425-736-9674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIKEMA",
"first_name": "WILLIAM",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-18",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60064539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.