Individual provider Active NPI

Shelley Blain Reimer, LMT

  • Massage Therapist
  • Bainbridge Island, WA
National Provider Identifier
1811261787
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00006803 Issued in WA
Practice address
701 Winslow Way E Ste B
Bainbridge Island, WA 98110-2416
Phone
(206) 842-2702
Fax
(206) 842-2847
NPI assigned
Feb 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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 MA00006803 WA Primary

Addresses

Primary practice location

701 Winslow Way E Ste B
Bainbridge Island, WA 98110-2416

Mailing address

321 High School Rd NE
Suite D-3 PMB 288
Bainbridge Island, WA 98110-2647
Phone (206) 842-2702

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
MA00006803WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Harbor Chiropractic Inc.P.S. Massage Therapist Past Accepting new patients
Eagle Harbor Health & Chiropractic Past Accepting new patients

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": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1811261787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HIGH SCHOOL RD NE",
            "address_2": "SUITE D-3 PMB 288",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102647",
            "telephone_number": "206-842-2702",
            "fax_number": "206-842-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINSLOW WAY E STE B",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102416",
            "telephone_number": "206-842-2702",
            "fax_number": "206-842-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMER",
        "first_name": "SHELLEY",
        "middle_name": "BLAIN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.