Active NPI
Xia Wang, LMP
- Massage Therapist
- Redmond, WA
National Provider Identifier
1952128290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60714381
- Practice address
- 13200 Old Redmond Rd
Redmond, WA 98052-1819 - Phone
- (425) 785-7912
- Fax
- (425) 217-1864
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60714381 | WA | Primary |
Addresses
Primary practice location
13200 Old Redmond Rd
Redmond, WA 98052-1819
Mailing address
13200 Old Redmond Rd Ste 130
Redmond, WA 98052-1819
Phone (425) 785-7912
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60714381 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li's Spa LLC | Massage Therapist | Current | 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": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1952128290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13200 OLD REDMOND RD STE 130",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521819",
"telephone_number": "425-785-7912",
"fax_number": "425-217-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 OLD REDMOND RD",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521819",
"telephone_number": "425-785-7912",
"fax_number": "425-217-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "XIA",
"name_prefix": "Miss",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60714381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.