Active NPI
Charlotte M Rock, LMP
- Massage Therapist
- Long Beach, WA
National Provider Identifier
1912136334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60096540
- Practice address
- 409 Sid Snyder Dr
Long Beach, WA 98631-3903 - Phone
- (360) 244-1991
- NPI assigned
- Jul 7, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60096540 | WA | Primary |
Addresses
Primary practice location
409 Sid Snyder Dr
Long Beach, WA 98631-3903
Mailing address
PO Box 700
Long Beach, WA 98631-0700
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 |
|---|---|---|---|
| MA60096540 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1912136334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700",
"city": "LONG BEACH",
"state": "WA",
"postal_code": "986310700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 SID SNYDER DR",
"city": "LONG BEACH",
"state": "WA",
"postal_code": "986313903",
"telephone_number": "360-244-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "CHARLOTTE",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60096540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.