Active NPI
Katrina Lynne Schwerdtfeger, MS, PTA, LMT
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1891565172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61368535
- Practice address
- 1155 N State St Ste 617
Bellingham, WA 98225-5024 - Phone
- (360) 206-2656
- NPI assigned
- Jan 8, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 60575719 | WA | |
| Massage Therapist | 225700000X | 61368535 | WA | Primary |
Addresses
Primary practice location
1155 N State St Ste 617
Bellingham, WA 98225-5024
Mailing address
1219 Yew St
Bellingham, WA 98229-8813
Phone (206) 403-5686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60575719 | Other | WA | DOH |
| 61368535 | Other | WA | DOH |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60575719 | WA | MD | Physical Therapy Assistant |
| 61368535 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1891565172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 YEW ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982298813",
"telephone_number": "206-403-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N STATE ST STE 617",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255024",
"telephone_number": "360-206-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWERDTFEGER",
"first_name": "KATRINA",
"middle_name": "LYNNE",
"credential": "MS, PTA, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "60575719",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61368535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "60575719",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "61368535",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.