Active NPI
Lisa Thomas, LMP
- Massage Therapist
- Kirkland, WA
National Provider Identifier
1811233281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60314723
- Practice address
- 10512 NE 68TH St Ste C102
Kirkland, WA 98033-7002 - Phone
- (425) 889-4701
- NPI assigned
- Dec 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 | MA60314723 | WA | Primary |
Addresses
Primary practice location
10512 NE 68TH St Ste C102
Kirkland, WA 98033-7002
Mailing address
1611 Knickerbocker Dr
Auburn, WA 98001-3833
Phone (425) 306-5606
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 |
|---|---|---|---|
| MA60314723 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penry Chiropractic PS | Massage Therapist | 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": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1811233281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 KNICKERBOCKER DR",
"city": "AUBURN",
"state": "WA",
"postal_code": "980013833",
"telephone_number": "425-306-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10512 NE 68TH ST STE C102",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980337002",
"telephone_number": "425-889-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LISA",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60314723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.