Individual provider Active NPI

Sandy Matthews

  • Massage Therapist
  • Vashon, WA
National Provider Identifier
1831470848
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00021443 Issued in WA
Practice address
17147 Vashon Hwy SW Ste 104
Vashon, WA 98070-4603
Phone
(415) 233-1865
NPI assigned
Sep 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 MA00021443 WA Primary

Addresses

Primary practice location

17147 Vashon Hwy SW Ste 104
Vashon, WA 98070-4603

Mailing address

13824 Vashon Hwy SW
Vashon, WA 98070-3300
Phone (415) 233-1865

Other practice location 1

14029 23rd Pl NE
Seattle, WA 98125-3328
Phone (206) 992-9139

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
MA00021443WAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1831470848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13824 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980703300",
            "telephone_number": "415-233-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17147 VASHON HWY SW STE 104",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704603",
            "telephone_number": "415-233-1865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14029 23rd Pl NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981253328",
            "country_code": "US",
            "telephone_number": "206-992-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "SANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2022-08-19",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.