Individual provider Active NPI

Matt Horikawa, LMP

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1942748512
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60728287 Issued in WA
Practice address
4280 Meridian St Ste 120
Bellingham, WA 98226-6464
Phone
(360) 734-4300
NPI assigned
Feb 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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 MA60728287 WA Primary

Addresses

Primary practice location

4280 Meridian St Ste 120
Bellingham, WA 98226-6464

Mailing address

509 E Sunset Dr
Bellingham, WA 98225-1925
Phone (707) 601-7998

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
MA60728287WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Group, Inc. P.S. Past 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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1942748512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E SUNSET DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251925",
            "telephone_number": "707-601-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MERIDIAN ST STE 120",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266464",
            "telephone_number": "360-734-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORIKAWA",
        "first_name": "MATT",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60728287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.