Rebecca Johnson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60178635 Issued in WA

Practice address

830 E Fairhaven Ave
Burlington, WA 98233-1917

Phone

(360) 757-7373

Fax

(360) 757-6369

NPI assigned

Jan 18, 2011

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Wibbens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Skagit River Chiropractic PS Inc

  • Chiropractor
  • Burlington, WA
  • NPI 1982825618
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1679878946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331917",
            "telephone_number": "360-757-7373",
            "fax_number": "360-757-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331917",
            "telephone_number": "360-757-7373",
            "fax_number": "360-757-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60178635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WIBBENS",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason L Hilde DDS PLLC (Hilde Family Dentistry)
• Elizabet Jimenez Chavez
• Cheri Lynn Johnson, AAC
• Elizabeth M Johnson, B.A., R.C.
• Gordon Macdonald Johnson, LD
• Angelia Shelita Jordan
• Joseph S Wald Enterprises Inc
• Joseph Wald OD Inc (Burlignton Vision Clinic)
• Trisha Kathleen Tremper Justice, COTA
• Kathleen a Stambaugh, DDS PS

• Massage Therapist in Burlington, WA
• Providers in Burlington, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.