Individual provider Active NPI

Abigail Elizabeth Newcombe, LMT

  • Massage Therapist
  • Port Orchard, WA
National Provider Identifier
1780105676
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60619676 Issued in WA
Practice address
1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517
Phone
(360) 874-0232
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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 MA60619676 WA Primary

Addresses

Primary practice location

1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517

Mailing address

13495 Perch Cir NW Apt D
Silverdale, WA 98315-9761
Phone (252) 269-8460

Other identifiers 1

IdentifierTypeStateIssuer
MA60619676OtherWAMASSAGE LICENSE

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
MA60619676WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holt Chiropractic & Massage PS Massage Therapist PastSince Apr 21, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1780105676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13495 PERCH CIR NW APT D",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983159761",
            "telephone_number": "252-269-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE MILE HILL DR STE 150",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663517",
            "telephone_number": "360-874-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMBE",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60619676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA60619676",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.