Active NPI
Zachary Archuleta
- Massage Therapist
- Seattle, WA
National Provider Identifier
1720452006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60554979
- Practice address
- 460 NE 70TH St
Seattle, WA 98115-5426 - Phone
- (206) 522-4000
- Fax
- (206) 522-4003
- NPI assigned
- Nov 24, 2015
- Sex
- Male
- Sole proprietor
- No
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 | MA60554979 | WA | Primary |
Addresses
Primary practice location
460 NE 70TH St
Seattle, WA 98115-5426
Mailing address
1743 Summit Ave Apt 105
Seattle, WA 98122-2119
Phone (801) 721-3358
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 |
|---|---|---|---|
| MA60554979 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenner/Culp LLC | Massage Therapist | Past | 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.
-
- Massage Therapist
- Seattle, WA
- NPI 1487897963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1720452006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1743 SUMMIT AVE APT 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222119",
"telephone_number": "801-721-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 NE 70TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155426",
"telephone_number": "206-522-4000",
"fax_number": "206-522-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHULETA",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60554979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.