Active NPI
Alder Grey Drekiruna McGarvey, LMT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1922706241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61380761
- Practice address
- 1100 NE 47TH St Ste 101
Seattle, WA 98105-4685 - Phone
- (630) 912-9065
- NPI assigned
- Feb 16, 2023
- 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 | MA61380761 | WA | Primary |
Addresses
Primary practice location
1100 NE 47TH St Ste 101
Seattle, WA 98105-4685
Mailing address
1712 N 80TH St
Seattle, WA 98103-4424
Phone (406) 471-9688
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 |
|---|---|---|---|
| MA61380761 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1922706241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 N 80TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981034424",
"telephone_number": "406-471-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NE 47TH ST STE 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054685",
"telephone_number": "630-912-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGARVEY",
"first_name": "ALDER GREY",
"middle_name": "DREKIRUNA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61380761",
"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 Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.