Devin Hormann-Rivard, CCST, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61001181 Issued in WA

Practice address

221 NW 100TH St
Seattle, WA 98177-4909

Phone

(808) 315-1512

NPI assigned

Feb 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Devin Rivard Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1801429758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NW 100TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774909",
            "telephone_number": "808-315-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NW 100TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774909",
            "telephone_number": "808-315-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMANN-RIVARD",
        "first_name": "DEVIN",
        "credential": "CCST, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61001181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thrive@bodyofwaterwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "221 NW 100th St",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981774909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEVIN",
            "last_name": "RIVARD",
            "credential": "CCST, LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Scott E. Hormel, M.D.
• Aimee Beth Horn, M.ED., LMHC, NCC
• Amber Horn, LMT
• Christine Elise Horn, MD

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.