Organization Active NPI

M Is for Massage, PLLC

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1851627699
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
#MA60069631 Issued in WA
Legal business name
M IS FOR MASSAGE, PLLC
Practice address
2119 17TH Avenue South
Seattle, WA 98144-4313
Phone
(206) 819-9664
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roy Alan Vermillion, LMPNPI 1235469040
Title
Member
Phone
(206) 819-9664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X #MA60069631 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X #MA60089955 WA

Addresses

Primary practice location

2119 17TH Avenue South
Seattle, WA 98144-4313

Mailing address

4715 S Hudson St.
Seattle, WA 98118-2076
Phone (206) 819-9664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1851627699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 S HUDSON ST.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182076",
            "telephone_number": "206-819-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 17TH AVENUE SOUTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444313",
            "telephone_number": "206-819-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M IS FOR MASSAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "VERMILLION",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-819-9664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "#MA60069631",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "#MA60089955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.