Individual provider Active NPI

Shantay Merry

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1790659548
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00012622 Issued in WA
Practice address
710 5TH Ave NW Ste 300
Issaquah, WA 98027-2845
Phone
(425) 998-6542
Fax
(425) 332-7071
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 MA00012622 WA Primary

Addresses

Primary practice location

710 5TH Ave NW Ste 300
Issaquah, WA 98027-2845

Mailing address

600 Yellowstone Trail Rd
Snoqualmie, WA 98068

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
MA00012622WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Garage Massage Therapy, PLLC Massage Therapist PastSince Oct 5, 2025 Accepting new patients
The Garage Massage Therapy, PLLC Massage Therapist PastSince Oct 5, 2025 Accepting new patients

Organizations & group practices 2

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": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1790659548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 YELLOWSTONE TRAIL RD",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 5TH AVE NW STE 300",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272845",
            "telephone_number": "425-998-6542",
            "fax_number": "425-332-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRY",
        "first_name": "SHANTAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00012622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.