Rolando D Tantoco Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61381171 Issued in WA

Practice address

24016 109TH PL SE Apt M204
Kent, WA 98030-5210

Phone

(206) 498-0632

NPI assigned

Jan 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1871207365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24016 109TH PL SE APT M204",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24016 109TH PL SE APT M204",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305210",
            "telephone_number": "206-498-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTOCO",
        "first_name": "ROLANDO",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT3894",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61381171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tantocohealingarts.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "24016 109th Pl SE",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980305249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace D Talic, RN
• Bea Tan
• Carol Renne Tanaka, MSN, ARNP
• Steven M. Tanaka, M.D.
• Brandon Tandecki
• Michael Tartaglia
• Svetlana Tatarinova, LMT
• Celestine Taylor
• Hodges Taylor
• Mahogany Taylor

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.