Active NPI
Corey Levi, LMT
- Massage Therapist
- Moses Lake, WA
National Provider Identifier
1750926655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61016955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA61016955 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Chiropractic | Single Specialty | Current | 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.