Active NPI
Molly Kay Reyes, LMT
- Massage Therapist
- Issaquah, WA
National Provider Identifier
1699328484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60969179
- Practice address
- 680 NW Gilman Blvd
Issaquah, WA 98027-2446 - Phone
- (425) 427-6562
- NPI assigned
- Jul 20, 2019
- Sex
- Female
- 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 | MA60969179 | WA | Primary |
Addresses
Primary practice location
680 NW Gilman Blvd
Issaquah, WA 98027-2446
Mailing address
680 NW Gilman Blvd
Issaquah, WA 98027-2446
Phone (425) 427-6562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60969179 | Other | WA | WASHINGTON STATE MASSAGE LICENSE |
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 |
|---|---|---|---|
| MA60969179 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563580800000",
"number": "1699328484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 NW GILMAN BLVD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272446",
"telephone_number": "425-427-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 NW GILMAN BLVD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272446",
"telephone_number": "425-427-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MOLLY",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-20",
"last_updated": "2019-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60969179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE MASSAGE LICENSE",
"identifier": "MA60969179",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.