Individual provider Active NPI

Makeeba Taylor, MASSAGE CERTIFICATE

  • Massage Therapist
  • Federal Way, WA
National Provider Identifier
1740732114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60666370 Issued in WA
Practice address
202 S 348TH St
Federal Way, WA 98003-7070
Phone
(253) 874-2498
Fax
(253) 248-1909
NPI assigned
Nov 1, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 MA60666370 WA Primary

Addresses

Primary practice location

202 S 348TH St
Federal Way, WA 98003-7070

Mailing address

202 S 348TH St
Federal Way, WA 98003-7070
Phone (253) 874-2498

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
MA60666370WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740732114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 348TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037070",
            "telephone_number": "253-874-2498",
            "fax_number": "253-248-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 348TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037070",
            "telephone_number": "253-874-2498",
            "fax_number": "253-248-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MAKEEBA",
        "credential": "MASSAGE CERTIFICATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60666370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.