Active NPI
Molly M Anderson, LMP
- Massage Therapist
- Tumwater, WA
National Provider Identifier
1891870358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00018499
- Practice address
- 100 Dennis St SW
Suite a
Tumwater, WA 98501-6523 - Phone
- (360) 704-3300
- Fax
- (360) 704-7676
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MA00018499 | WA | Primary |
Addresses
Primary practice location
100 Dennis St SW
Suite a
Tumwater, WA 98501-6523
Mailing address
PO Box 731269
Puyallup, WA 98373-0060
Phone (253) 840-2313
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178353 | Other | WA | DEPT OF LABOR & INDUSTRY |
| 3242TI | Other | WA | REGENCE BLUE SHIELD |
| 8931530 | Other | WA | CRIME VICTIMS |
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 |
|---|---|---|---|
| MA00018499 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1891870358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731269",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983730060",
"telephone_number": "253-840-2313",
"fax_number": "253-840-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DENNIS ST SW",
"address_2": "SUITE A",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985016523",
"telephone_number": "360-704-3300",
"fax_number": "360-704-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MOLLY",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00018499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRY",
"identifier": "178353",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "3242TI",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8931530",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.