Northwest Therapeutic Massage

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1318976 Issued in WA

Legal business name

NORTHWEST THERAPEUTIC MASSAGE

Practice address

4113 Bridgeport Way W Ste Eb
University Place, WA 98466-4325

Phone

(253) 564-5828

NPI assigned

Dec 11, 2014

Last updated

Dec 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elisabeth Anna WilliamsNPI 1366853822

Title

LMP

Phone

(951) 691-6738

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Elisabeth Williams

  • Massage Therapist
  • Spanaway, WA
  • NPI 1366853822
  NPD (past) Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1801294566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 200TH STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983875750",
            "telephone_number": "951-691-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BRIDGEPORT WAY W STE EB",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664325",
            "telephone_number": "253-564-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "951-691-6738",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "1318976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Christian Counseling Service, LLC
• Northwest Hope & Recovery Center, PLLC
• Northwest Therapeutic Massage
• Northwest Therapeutic Massage
• Northwest Therapeutic Massage
• Northwestern Healthcare Management Services LLC (University Place Family Care)
• Melody E Norwood, LMP
• Karen Marie Noyes, COTA/L
• Kailee Nuttall
• Carol Aicha O'Brien, D.D.S.

• Physical Therapy Clinic/Center in University Place, WA
• Providers in University Place, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.