Active NPI
Thomas Monroe Ainsworth Jr., LMT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1760103410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60936561
- Practice address
- 4204 SW Oregon St
Seattle, WA 98116-4236 - Phone
- (206) 938-1848
- NPI assigned
- Sep 9, 2022
- Sex
- Male
- Sole proprietor
- No
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 | MA60936561 | WA | Primary |
Addresses
Primary practice location
4204 SW Oregon St
Seattle, WA 98116-4236
Mailing address
4505 42ND Ave SW Unit 701
Seattle, WA 98116-4743
Phone (360) 900-8581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AINSWTM260RT | Other | WA | INSURANCE PROVIDERS |
Other names 1
- Thom Ainsworth
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Computer | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MA60936561 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1760103410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 42ND AVE SW UNIT 701",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164743",
"telephone_number": "360-900-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 SW OREGON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164236",
"telephone_number": "206-938-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AINSWORTH",
"first_name": "THOMAS",
"middle_name": "MONROE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60936561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE PROVIDERS",
"identifier": "AINSWTM260RT",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "SOAP notes",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4204 SW Oregon St",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981164236",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "THOM",
"last_name": "AINSWORTH",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.