Active NPI
Wesley Gordon Hiserman, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1912265372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60273533
- Practice address
- 509 Olive Way
Ste 755
Seattle, WA 98101-1720 - Phone
- (206) 264-9400
- Fax
- (206) 264-4939
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- 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 | MA60273533 | WA | Primary |
Addresses
Primary practice location
509 Olive Way
Ste 755
Seattle, WA 98101-1720
Mailing address
1406 E Alder St
Seattle, WA 98122-5528
Phone (206) 954-9595
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 |
|---|---|---|---|
| MA60273533 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1912265372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 E ALDER ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225528",
"telephone_number": "206-954-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY",
"address_2": "STE 755",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011720",
"telephone_number": "206-264-9400",
"fax_number": "206-264-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISERMAN",
"first_name": "WESLEY",
"middle_name": "GORDON",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60273533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.