Individual provider Active NPI

Ruiqin Qi, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1821623349
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61025219 Issued in WA
Practice address
1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718
Phone
(360) 574-3141
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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 MA61025219 WA Primary

Addresses

Primary practice location

1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718

Mailing address

1008 NE 63Rd St # 8
Vancouver, WA 98665-0201
Phone (503) 481-1155

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
MA61025219WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Star Natural Healing Massage Massage Therapist CurrentSince Sep 29, 2024 Accepting new patients
Cke Longevity LLC Massage Therapist PastSince Mar 9, 2020 Accepting new patients

Locations

3305 Main St
Ste 100
Vancouver, WA 98663
Phone (360) 693-8064

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1821623349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 NE 63RD ST # 8",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650201",
            "telephone_number": "503-481-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 NE 134TH ST STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852718",
            "telephone_number": "360-574-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QI",
        "first_name": "RUIQIN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61025219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.