Individual provider Active NPI

Magdalen Maureen Neilson, LMT

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1710646377
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61237356 Issued in WA
Practice address
1200 NE 65TH St
Seattle, WA 98115-6724
Phone
(206) 522-4000
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 MA61237356 WA Primary

Addresses

Primary practice location

1200 NE 65TH St
Seattle, WA 98115-6724

Mailing address

PO Box 99553
Seattle, WA 98139-0553
Phone (530) 308-2475

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 530-308-2475

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
MA61237356WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1710646377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99553",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981390553",
            "telephone_number": "530-308-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156724",
            "telephone_number": "206-522-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILSON",
        "first_name": "MAGDALEN",
        "middle_name": "MAUREEN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-08-12",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61237356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "530-308-2475",
            "affiliation": "N",
            "endpointDescription": "Im advised that this location does not share client info with other providers but am unable to input N/A.",
            "address_1": "3555 27th Pl W # 120",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981992159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 12, 2022; 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.