Individual provider Active NPI

Radu Stoica, LMP

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1700337516
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00006358 Issued in WA
Practice address
3405 188TH St SW
#105
Lynnwood, WA 98037-4744
Phone
(425) 775-6767
Fax
(425) 774-0796
NPI assigned
Oct 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 MA00006358 WA Primary

Addresses

Primary practice location

3405 188TH St SW
#105
Lynnwood, WA 98037-4744

Mailing address

7622 201St St SE
Snohomish, WA 98296-5159
Phone (425) 775-6767

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
MA00006358WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1700337516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 201ST ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965159",
            "telephone_number": "425-775-6767",
            "fax_number": "425-774-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 188TH ST SW",
            "address_2": "#105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374744",
            "telephone_number": "425-775-6767",
            "fax_number": "425-774-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOICA",
        "first_name": "RADU",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.