Individual provider Active NPI

Corey Levi, LMT

  • Massage Therapist
  • Moses Lake, WA
National Provider Identifier
1750926655
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61016955 Issued in WA
Practice address
835 E Colonial Ave
Moses Lake, WA 98837-4617
Phone
(509) 764-6777
NPI assigned
Nov 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA61016955 WA Primary

Addresses

Primary practice location

835 E Colonial Ave
Moses Lake, WA 98837-4617

Mailing address

7900 Dahl Rd NE
Moses Lake, WA 98837-9229
Phone (509) 431-4806

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL elitechiropractic@live.com

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
MA61016955WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic Single Specialty CurrentSince Oct 15, 2023 Accepting new patients

Locations

835 E Colonial Ave
Moses Lake, WA 98837
Phone (509) 764-6777

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.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1750926655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DAHL RD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379229",
            "telephone_number": "509-431-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E COLONIAL AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374617",
            "telephone_number": "509-764-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "COREY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61016955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elitechiropractic@live.com",
            "affiliation": "N",
            "address_1": "835 E Colonial Ave",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988374617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.