Bree Ann Stacy-Rodriguez

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA6113774 Issued in WA

Practice address

1702 S 72ND St
Tacoma, WA 98408-1238

Phone

(253) 474-0677

NPI assigned

Jul 20, 2021

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

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.

• Accident & Injury Chiropractic Center Inc.

  • Chiropractor
  • Tacoma, WA
  • NPI 1578595179
  NPD (past)
• Advanced Integrative Movement, LLC

  dba AIM Physical Therapy

  • Physical Therapist
  • Olympia, WA
  • NPI 1649389271
  NPD (past)
• Epic PT Health & Performance LLC

  dba Epic Physical Therapy

  • Physical Therapist
  • Tacoma, WA
  • NPI 1407282734
  NPD (past)
• Kudick Chiropractic P.S.

  • Chiropractor
  • Olympia, WA
  • NPI 1124114582
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1871166504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LIMITED LN NW STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022704",
            "telephone_number": "360-292-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S 72ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081238",
            "telephone_number": "253-474-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Limited Ln NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985022704",
            "country_code": "US",
            "telephone_number": "360-292-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACY-RODRIGUEZ",
        "first_name": "BREE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA6113774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn St. Luce, DSW, LCSW
• Jenne Stabbert, D.D.S
• Sanford Stabbert
• Eden Stabenow, LMP
• Alicia Anne Stabryla
• Stadium Dental
• Staffed Healthcare, LLC (Caretrips)
• Elaine M Stafford, MOT, OTR/L
• Olympia Stafford
• Peyton M Stafford

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.