Individual provider Active NPI

Alicia Stott, LMP

  • Massage Therapist
  • Snoqualmie, WA
National Provider Identifier
1932368115
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60017652 Issued in WA
Practice address
7726 Center Blvd SE
Suite 220
Snoqualmie, WA 98065-8748
Phone
(425) 396-7778
Fax
(425) 396-7097
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60017652 WA Primary

Addresses

Primary practice location

7726 Center Blvd SE
Suite 220
Snoqualmie, WA 98065-8748

Mailing address

7726 Center Blvd SE
Suite 220
Snoqualmie, WA 98065-8748
Phone (425) 396-7778

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

LicenseStateTypeSpecialty
MA 60017652WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Snoqualmie Ridge Physical Therapy, P.S. PastSince Aug 1, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1932368115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 CENTER BLVD SE",
            "address_2": "SUITE 220",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658748",
            "telephone_number": "425-396-7778",
            "fax_number": "425-396-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 CENTER BLVD SE",
            "address_2": "SUITE 220",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658748",
            "telephone_number": "425-396-7778",
            "fax_number": "425-396-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTT",
        "first_name": "ALICIA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60017652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.