Active NPI
Liam Bowler, L.M.P.
- Massage Therapist
- Seattle, WA
National Provider Identifier
1861704090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60160115
- Practice address
- 5100 S Dawson St
Suite 104
Seattle, WA 98118-2100 - Phone
- (206) 760-1448
- NPI assigned
- Jul 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 | MA60160115 | WA | Primary |
Addresses
Primary practice location
5100 S Dawson St
Suite 104
Seattle, WA 98118-2100
Mailing address
422 21St Ave E
Seattle, WA 98112-5320
Phone (415) 464-7115
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 |
|---|---|---|---|
| MA60160115 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Therapeutics | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1861704090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 21ST AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125320",
"telephone_number": "415-464-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 S DAWSON ST",
"address_2": "SUITE 104",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182100",
"telephone_number": "206-760-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLER",
"first_name": "LIAM",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60160115",
"primary": true
}
],
"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 Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.