Active NPI
Emma Elaine Raynor
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1811603178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61143299
- Practice address
- 3800 Byron Ave Ste B10
Bellingham, WA 98229-2877 - Phone
- (385) 223-0765
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- 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 | 61143299 | WA | Primary |
Addresses
Primary practice location
3800 Byron Ave Ste B10
Bellingham, WA 98229-2877
Mailing address
4389 Harborview Dr
Blaine, WA 98230-9229
Phone (385) 223-0765
Other practice location 1
2376 Main St
Ferndale, WA 98248-8605
Phone (385) 223-0765
Other practice location 2
1905 Front St
Lynden, WA 98264-1707
Phone (360) 389-5566
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 |
|---|---|---|---|
| 61143299 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1811603178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4389 HARBORVIEW DR",
"city": "BLAINE",
"state": "WA",
"postal_code": "982309229",
"telephone_number": "385-223-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 BYRON AVE STE B10",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292877",
"telephone_number": "385-223-0765"
}
],
"practiceLocations": [
{
"address_1": "2376 Main St",
"address_purpose": "LOCATION",
"city": "Ferndale",
"state": "WA",
"postal_code": "982488605",
"country_code": "US",
"telephone_number": "385-223-0765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 Front St",
"address_purpose": "LOCATION",
"city": "Lynden",
"state": "WA",
"postal_code": "982641707",
"country_code": "US",
"telephone_number": "360-389-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYNOR",
"first_name": "EMMA",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61143299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.