Individual provider Active NPI

Minge Zhang, MASSAGE THERAPIST

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1710640487
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60677324 Issued in WA
Practice address
12611 Northup Way Ste 210
Bellevue, WA 98005-1969
Phone
(425) 518-7653
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 MA60677324 WA Primary

Addresses

Primary practice location

12611 Northup Way Ste 210
Bellevue, WA 98005-1969

Mailing address

12611 Northup Way Ste 210
Bellevue, WA 98005-1969
Phone (425) 518-7653

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
MA60677324WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Zone Massage Therapist CurrentSince Feb 11, 2024 Accepting new patients

Locations

12611 Northup Way
Ste 210
Bellevue, WA 98005
Phone (425) 518-7653

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1710640487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 NORTHUP WAY STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051969",
            "telephone_number": "425-518-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 NORTHUP WAY STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051969",
            "telephone_number": "425-518-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "MINGE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60677324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.