Individual provider Active NPI

Thomas Monroe Ainsworth Jr., LMT

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1760103410
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60936561 Issued in WA
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

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AINSWTM260RTOtherWAINSURANCE PROVIDERS

Other names 1

  • Thom Ainsworth Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MA60936561WAMDMassage 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.

Verify at the official NPI Registry.