Individual provider Active NPI

Rachel Fridye, LMT

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1740550292
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60247784 Issued in WA
Practice address
1410 N Mullan Rd
Suite 200
Spokane Valley, WA 99206-4043
Phone
(509) 927-8997
Fax
(509) 927-3919
NPI assigned
Dec 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 MA60247784 WA Primary

Addresses

Primary practice location

1410 N Mullan Rd
Suite 200
Spokane Valley, WA 99206-4043

Mailing address

1410 N Mullan Rd
Suite 200
Spokane Valley, WA 99206-4043
Phone (509) 927-8997

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
MA60247784WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1740550292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N MULLAN RD",
            "address_2": "SUITE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064043",
            "telephone_number": "509-927-8997",
            "fax_number": "509-927-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N MULLAN RD",
            "address_2": "SUITE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064043",
            "telephone_number": "509-927-8997",
            "fax_number": "509-927-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDYE",
        "first_name": "RACHEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60247784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.