Individual provider Active NPI

Rachel E Pennington

  • Massage Therapist
  • Langley, WA
National Provider Identifier
1851422489
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020295 Issued in WA
Practice address
772 Camano Ave
Ste #201
Langley, WA 98260
Phone
(360) 221-4325
Fax
(360) 313-6970
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

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
MA00020295WAMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00020295 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

772 Camano Ave
Ste #201
Langley, WA 98260

Mailing address

772 Camano Ave
Ste #201
Langley, WA 98260
Phone (360) 221-4325

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2015.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1851422489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 CAMANO AVE",
            "address_2": "STE #201",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "98260",
            "telephone_number": "360-221-4325",
            "fax_number": "360-313-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 CAMANO AVE",
            "address_2": "STE #201",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "98260",
            "telephone_number": "360-221-4325",
            "fax_number": "360-313-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "RACHEL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.