Madeleine Bongiorno, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60763173 Issued in WA

Practice address

2415 Evergreen Park Dr SW Ste C4
Olympia, WA 98502-6007

Phone

(360) 280-1581

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1922596246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 ROCKCRESS DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985132111",
            "telephone_number": "360-280-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 EVERGREEN PARK DR SW STE C4",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026007",
            "telephone_number": "360-280-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGIORNO",
        "first_name": "MADELEINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60763173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dacia Bolt
• Wendy Jean Bond-McAferty, RDH
• Renae Diane Bond, PT
• Tammi Bond
• Tamara Ann Bongey, M.S./CCC-SLP
• James Gee Bonifield, M.D.
• Kristi Jo Bonk, LMP
• Tarrah Bonner
• Melanie Nicole Boone
• Dion Booras

• Massage Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.