Active NPI
Jordan Anderson Paige, LMT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1699293761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60749804
- Practice address
- 4200 SW Admiral Way
Seattle, WA 98116-2520 - Phone
- (206) 914-5998
- NPI assigned
- Sep 8, 2017
- 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 | 60749804 | WA | Primary |
Addresses
Primary practice location
4200 SW Admiral Way
Seattle, WA 98116-2520
Mailing address
5447 49TH Ave SW
Seattle, WA 98136-1015
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 |
|---|---|---|---|
| 60749804 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504828800000",
"number": "1699293761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 49TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SW ADMIRAL WAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162520",
"telephone_number": "206-914-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "JORDAN",
"middle_name": "ANDERSON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-08",
"last_updated": "2017-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60749804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.