Active NPI
Mindy Lynn McKnew, LMT
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1801379920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60735447
- Practice address
- 1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517 - Phone
- (360) 874-0232
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 60735447 | WA | Primary |
Addresses
Primary practice location
1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517
Mailing address
965 SE Spencer Ave
Port Orchard, WA 98367-7082
Phone (360) 535-0796
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 |
|---|---|---|---|
| 60735447 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holt Chiropractic & Massage PS | Single Specialty | Past | 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": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1801379920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 SE SPENCER AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677082",
"telephone_number": "360-535-0796"
},
{
"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": "MCKNEW",
"first_name": "MINDY",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "60735447",
"primary": true
}
],
"identifiers": [],
"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 Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.