Individual provider Active NPI

Tina Marbet, LMP

  • Massage Therapist
  • Bonney Lake, WA
National Provider Identifier
1700103496
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60145332 Issued in WA
Practice address
20119 S Prairie Rd E
Bonney Lake, WA 98391-7935
Phone
(253) 862-1555
Fax
(253) 862-1557
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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 MA60145332 WA Primary

Addresses

Primary practice location

20119 S Prairie Rd E
Bonney Lake, WA 98391-7935

Mailing address

20119 S Prairie Rd E
Bonney Lake, WA 98391-7935
Phone (253) 862-1555

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
MA60145332WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henschell Chiropractic, P.S. PastSince Oct 1, 2004 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1700103496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20119 S PRAIRIE RD E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917935",
            "telephone_number": "253-862-1555",
            "fax_number": "253-862-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20119 S PRAIRIE RD E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917935",
            "telephone_number": "253-862-1555",
            "fax_number": "253-862-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBET",
        "first_name": "TINA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60145332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.