Active NPI
Susan Marie Mitchell, MT MP
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1881883361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00023102
- Practice address
- 120 NE 117TH Ave
Vancouver, WA 98684 - Phone
- (360) 448-8233
- Fax
- (360) 449-3197
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023102 | WA | Primary |
| Massage Therapist | 225700000X | 13497 | OR |
Addresses
Primary practice location
120 NE 117TH Ave
Vancouver, WA 98684
Mailing address
18805 SE McGillvray
103-711
Vancouver, WA 98683
Phone (360) 448-8233
Other names 1
- Susan Marie Foley
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00023102 | WA | MD | Massage Therapist |
| 13497 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1881883361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18805 SE MCGILLVRAY",
"address_2": "103-711",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98683",
"telephone_number": "360-448-8233",
"fax_number": "360-449-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NE 117TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98684",
"telephone_number": "360-448-8233",
"fax_number": "360-449-3197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "MT MP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023102",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13497",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "FOLEY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.