Organization Active NPI

Sublime Therapeutic Massage, Inc.

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1740844430
Registry record updated Apr 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SUBLIME THERAPEUTIC MASSAGE, INC.
Practice address
1020 E 34TH St
Tacoma, WA 98404-3105
Phone
(253) 882-9752
Fax
(253) 231-7949
NPI assigned
Apr 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darcy Webber, LMT
Title
President
Phone
(253) 882-9752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1020 E 34TH St
Tacoma, WA 98404-3105

Mailing address

1020 E 34TH St
Tacoma, WA 98404-3105
Phone (253) 882-9752

Other identifiers 1

IdentifierTypeStateIssuer
1407381908MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556409600000",
    "number": "1740844430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 34TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043105",
            "telephone_number": "253-882-9752",
            "fax_number": "253-231-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 34TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043105",
            "telephone_number": "253-882-9752",
            "fax_number": "253-231-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME THERAPEUTIC MASSAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-882-9752",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407381908",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; 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.