Active NPI
John Harley Purdy Jr., LMP
- Massage Therapist
- Aberdeen, WA
National Provider Identifier
1679756365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00007624
- Practice address
- 1812 Sumner Ave
Suite D
Aberdeen, WA 98520-4602 - Phone
- (360) 533-0044
- NPI assigned
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MA00007624 | WA | Primary |
Addresses
Primary practice location
1812 Sumner Ave
Suite D
Aberdeen, WA 98520-4602
Mailing address
1812 Sumner Ave
Suite D
Aberdeen, WA 98520-4602
Phone (360) 533-0044
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 |
|---|---|---|---|
| MA00007624 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Saleem Memon MD PS | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Aberdeen, WA
- NPI 1588624795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1679756365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 SUMNER AVE",
"address_2": "SUITE D",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985204602",
"telephone_number": "360-533-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 SUMNER AVE",
"address_2": "SUITE D",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985204602",
"telephone_number": "360-533-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "JOHN",
"middle_name": "HARLEY",
"name_suffix": "Jr.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-17",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00007624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.