Active NPI
Roger Leach
- Massage Therapist
- Seattle, WA
National Provider Identifier
1770048464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60821253
- Practice address
- 4162, Roy Street
Seattle, WA 98109 - Phone
- (206) 267-0863
- NPI assigned
- Feb 6, 2019
- 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 | MA60821253 | WA | Primary |
Addresses
Primary practice location
4162, Roy Street
Seattle, WA 98109
Mailing address
5001 College St SE Apt H301
Lacey, WA 98503-5516
Phone (253) 223-9479
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 |
|---|---|---|---|
| MA60821253 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1770048464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 COLLEGE ST SE APT H301",
"city": "LACEY",
"state": "WA",
"postal_code": "985035516",
"telephone_number": "253-223-9479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4162, ROY STREET",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98109",
"telephone_number": "206-267-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "ROGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60821253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 6, 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.