NPIMap

Individual provider Active NPI

Laura Margaret Dodge-Loney, LMP, LMT, NCTMB

  • Massage Therapist
  • Woodland, WA
National Provider Identifier
1750424743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017097 Issued in WA
Practice address
1933 Belmont Loop Ste C
Woodland, WA 98674-8492
Phone
(360) 225-5726
Fax
(360) 225-2253
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00017097 WA Primary
Massage Therapist 225700000X 10058 OR

Addresses

Primary practice location

1933 Belmont Loop Ste C
Woodland, WA 98674-8492

Mailing address

1933 Belmont Loop Ste C
PO Box 1881
Woodland, WA 98674-8492
Phone (360) 225-5726

Other identifiers 1

IdentifierTypeStateIssuer
163838OtherWAWORKERS COMPENSATION

Other names 1

  • Ms. Laura Margaret Dodge Former name

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
10058ORMDMassage Therapist
MA00017097WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Chiropractic Wellness Clinic, PS Past Accepting new patients
Hemmelman Chiropractic, PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750424743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 BELMONT LOOP STE C",
            "address_2": "PO BOX 1881",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748492",
            "telephone_number": "360-225-5726",
            "fax_number": "360-225-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 BELMONT LOOP STE C",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748492",
            "telephone_number": "360-225-5726",
            "fax_number": "360-225-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE-LONEY",
        "first_name": "LAURA",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LMP, LMT, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017097",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "163838",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DODGE",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.