Active NPI
Angel Vargas, LMT
- Massage Therapist
- Renton, WA
National Provider Identifier
1821560608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60909803
- Practice address
- 200 S Tobin St Ste a
Renton, WA 98057-5338 - Phone
- (425) 243-7705
- Fax
- (425) 321-5508
- NPI assigned
- Dec 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | MA60909803 | WA | Primary |
Addresses
Primary practice location
200 S Tobin St Ste a
Renton, WA 98057-5338
Mailing address
35012 13TH PL SW
Federal Way, WA 98023-6934
Phone (661) 699-9630
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 |
|---|---|---|---|
| MA60909803 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1821560608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35012 13TH PL SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980236934",
"telephone_number": "661-699-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S TOBIN ST STE A",
"city": "RENTON",
"state": "WA",
"postal_code": "980575338",
"telephone_number": "425-243-7705",
"fax_number": "425-321-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "ANGEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60909803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.