NPIMap

Organization Active NPI

Evercare Massage Therapy

  • Specialist
  • Puyallup, WA
National Provider Identifier
1780016063
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00022947 Issued in WA
Legal business name
EVERCARE MASSAGE THERAPY
Practice address
2717 E Main
Puyallup, WA 98372-3165
Phone
(253) 279-0424
NPI assigned
Aug 8, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Jackie Bennett, LMP
Title
Owner
Phone
(253) 279-0424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00022947 WA Primary

Addresses

Primary practice location

2717 E Main
Puyallup, WA 98372-3165

Mailing address

2717 E Main
Puyallup, WA 98372-3165
Phone (253) 279-0424

National Provider Directory

National Provider Directory

Locations

2717 E Main
Puyallup, WA 98372
Phone (253) 279-0424

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1780016063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723165",
            "telephone_number": "253-279-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723165",
            "telephone_number": "253-279-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-279-0424",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022947",
            "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 Aug 8, 2013; 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.