Active NPI
Jerica Lorraine Sapp, LMT
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1770045387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 16515 Meridian Ave Ste 202 B
Puyallup, WA 98375 - Phone
- (253) 466-3178
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
16515 Meridian Ave Ste 202 B
Puyallup, WA 98375
Mailing address
21809 116TH Street CT E
Bonney Lake, WA 98391-7253
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
- Credentials
- Master of Theology
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic PT Health & Performance LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Tacoma, WA
- NPI 1407282734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1770045387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21809 116TH STREET CT E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16515 MERIDIAN AVE STE 202 B",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98375",
"telephone_number": "253-466-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPP",
"first_name": "JERICA",
"middle_name": "LORRAINE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2022-06-13",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.