Individual provider Active NPI

Rebecca Teeter, LMP

  • Massage Therapist
  • Aberdeen, WA
National Provider Identifier
1942471156
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020933 Issued in WA
Practice address
100 S I St
Suite 205
Aberdeen, WA 98520-6502
Phone
(360) 532-1707
Fax
(360) 532-1703
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 MA00020933 WA Primary

Addresses

Primary practice location

100 S I St
Suite 205
Aberdeen, WA 98520-6502

Mailing address

100 S I St
Suite 205
Aberdeen, WA 98520-6502
Phone (360) 532-1707

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
MA00020933WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aberdeen Therapy Works Inc PastSince Jan 1, 2003 Accepting new patients
Aberdeen Therapy Works Past Accepting new patients

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": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1942471156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S I ST",
            "address_2": "SUITE 205",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206502",
            "telephone_number": "360-532-1707",
            "fax_number": "360-532-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S I ST",
            "address_2": "SUITE 205",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206502",
            "telephone_number": "360-532-1707",
            "fax_number": "360-532-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETER",
        "first_name": "REBECCA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.