Individual provider Active NPI

Marisa Lynn Lacasse, LMP

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1942082078
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61493426 Issued in WA
Practice address
16303 Highway 99 Ste 1B
Lynnwood, WA 98087-1453
Phone
(425) 743-9460
Fax
(425) 743-9409
NPI assigned
Oct 13, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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 MA61493426 WA Primary

Addresses

Primary practice location

16303 Highway 99 Ste 1B
Lynnwood, WA 98087-1453

Mailing address

16303 Highway 99 Ste 1B
Lynnwood, WA 98087-1453
Phone (425) 743-9460

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
MA61493426WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynnwood Family Chiropractic PS CurrentSince Oct 15, 2023 Accepting new patients
Lynnwood Family Chiropractic Massage Therapist PastSince Oct 15, 2023 Accepting new patients

Locations

16303 Highway 99
Ste 1B
Lynnwood, WA 98087
Phone (425) 743-9460

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1942082078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 HIGHWAY 99 STE 1B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871453",
            "telephone_number": "425-743-9460",
            "fax_number": "425-743-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 HIGHWAY 99 STE 1B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871453",
            "telephone_number": "425-743-9460",
            "fax_number": "425-743-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACASSE",
        "first_name": "MARISA",
        "middle_name": "LYNN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61493426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.