Organization Active NPI

Mica Homes

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1932327640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MICA HOMES
Doing business as
5TH AVENUE TOUCH
Practice address
911 5TH Ave SE Ste 102
Olympia, WA 98501-1505
Phone
(253) 686-1609
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Altman
Title
Owner
Phone
(253) 686-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

911 5TH Ave SE Ste 102
Olympia, WA 98501-1505

Mailing address

911 5TH Ave SE Ste 201
Olympia, WA 98501-1534
Phone (253) 686-1609

Other names 1

  • 5TH AVENUE TOUCH Doing business as

National Provider Directory

National Provider Directory

Locations

911 5th Ave SE
Ste 102
Olympia, WA 98501
Phone (253) 686-1609

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932327640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 5TH AVE SE STE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011534",
            "telephone_number": "253-686-1609",
            "fax_number": "360-352-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 5TH AVE SE STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011505",
            "telephone_number": "253-686-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICA HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-686-1609"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5TH AVENUE TOUCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.