Individual provider Active NPI

Timothy A Britz Jr., LMP

  • Massage Therapist
  • Yakima, WA
National Provider Identifier
1811049174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017197 Issued in WA
Practice address
4100 Summitview Ave Ste 101
Yakima, WA 98908-2958
Phone
(509) 457-3388
Fax
(509) 457-3399
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA00017197 WA Primary

Addresses

Primary practice location

4100 Summitview Ave Ste 101
Yakima, WA 98908-2958

Mailing address

4100 Summitview Ave Ste 101
Yakima, WA 98908-2958
Phone (509) 457-3388

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
MA00017197WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811049174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SUMMITVIEW AVE STE 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082958",
            "telephone_number": "509-457-3388",
            "fax_number": "509-457-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SUMMITVIEW AVE STE 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082958",
            "telephone_number": "509-457-3388",
            "fax_number": "509-457-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITZ",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.