Individual provider Active NPI

Sara Sweesy, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1689191835
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60772011 Issued in WA
Practice address
11500 NE 119TH St Ste 104
Vancouver, WA 98662-1643
Phone
(360) 326-3396
Fax
(360) 369-0015
NPI assigned
Aug 28, 2017
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60772011 WA Primary

Addresses

Primary practice location

11500 NE 119TH St Ste 104
Vancouver, WA 98662-1643

Mailing address

11500 NE 119TH St Ste 104
Vancouver, WA 98662-1643
Phone (360) 326-3396

Other practice location 1

105 N Parkway Ave
Battle Ground, WA 98604-9129
Phone (360) 666-6001

Other identifiers 1

IdentifierTypeStateIssuer
1689191835OtherWAMASSAGE THERAPIST

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
MA60772011WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffman Chiropractic Inc. Chiropractor CurrentSince Feb 19, 2023 Accepting new patients
Beacon Chiropractic Co Chiropractor CurrentSince Feb 19, 2023 Accepting new patients
Opdahl Chiropractic Office Inc. Chiropractor PastSince Jan 1, 2020 Accepting new patients

Locations

11500 NE 119th St
Ste 104
Vancouver, WA 98662
Phone (360) 326-3396

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1689191835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NE 119TH ST STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621643",
            "telephone_number": "360-326-3396",
            "fax_number": "360-369-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NE 119TH ST STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621643",
            "telephone_number": "360-326-3396",
            "fax_number": "360-369-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Parkway Ave",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986049129",
            "country_code": "US",
            "telephone_number": "360-666-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEESY",
        "first_name": "SARA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60772011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "1689191835",
            "state": "WA"
        }
    ],
    "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 Feb 16, 2023; 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.