Individual provider Active NPI

Taya Sundheim

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1801765227
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASS.MA.70038976 Issued in WA
Practice address
25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976
Phone
(425) 334-9137
Fax
(425) 377-9487
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 MASS.MA.70038976 WA Primary

Addresses

Primary practice location

25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976

Mailing address

7711 S Lake Stevens Rd
Lake Stevens, WA 98258-5604
Phone (425) 334-9137

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
MASS.MA.70038976WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Stevens Massage Therapy, Inc. Massage Therapist CurrentSince Nov 9, 2025 Accepting new patients
Shanlee Stephens Massage Therapist PastSince Nov 9, 2025 Accepting new patients

Locations

25 95th Dr NE
Ste 105
Lake Stevens, WA 98258
Phone (425) 334-9137

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1801765227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 S LAKE STEVENS RD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585604",
            "telephone_number": "425-334-9137",
            "fax_number": "425-377-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 95TH DR NE STE 105",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587976",
            "telephone_number": "425-334-9137",
            "fax_number": "425-377-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDHEIM",
        "first_name": "TAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MASS.MA.70038976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

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