Active NPI
Joshua Yosemite Haney, LMT
- Massage Therapist
- Montesano, WA
National Provider Identifier
1861766024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60189745
- Practice address
- 315 W Marcy Ave
Montesano, WA 98563 - Phone
- (360) 537-5914
- Fax
- (360) 532-1059
- NPI assigned
- Mar 5, 2012
- Last updated
- Dec 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | MA60189745 | WA | Primary |
Addresses
Primary practice location
315 W Marcy Ave
Montesano, WA 98563
Mailing address
PO Box 366
Montesano, WA 98563-0366
Phone (360) 537-5914
Other practice location 1
10021 Holman Rd NW
Seattle, WA 98177-4920
Phone (206) 632-8300
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 |
|---|---|---|---|
| MA60189745 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle MFR, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1861766024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985630366",
"telephone_number": "360-537-5914",
"fax_number": "360-532-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W MARCY AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "98563",
"telephone_number": "360-537-5914",
"fax_number": "360-532-1059"
}
],
"practiceLocations": [
{
"address_1": "10021 Holman Rd NW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981774920",
"country_code": "US",
"telephone_number": "206-632-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANEY",
"first_name": "JOSHUA",
"middle_name": "YOSEMITE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-05",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60189745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.