Individual provider Active NPI

Sarah Danea Wiebe, LMT

  • Massage Therapist
  • Arlington, WA
National Provider Identifier
1932825023
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61367297 Issued in WA
Practice address
17432 Smokey Point Blvd Ste 105
Arlington, WA 98223-8784
Phone
(360) 653-2222
Fax
(360) 653-5730
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 MA61367297 WA Primary

Addresses

Primary practice location

17432 Smokey Point Blvd Ste 105
Arlington, WA 98223-8784

Mailing address

17432 Smokey Point Blvd Ste 105
Arlington, WA 98223-8784
Phone (360) 653-2222

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
MA61367297WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1932825023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17432 SMOKEY POINT BLVD STE 105",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238784",
            "telephone_number": "360-653-2222",
            "fax_number": "360-653-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17432 SMOKEY POINT BLVD STE 105",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238784",
            "telephone_number": "360-653-2222",
            "fax_number": "360-653-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "SARAH",
        "middle_name": "DANEA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61367297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.