Active NPI
Rosemarie Reandeau, LMP,PTA
- Massage Therapist
- Port Angeles, WA
National Provider Identifier
1952561458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60303757
- Practice address
- 111 E 7TH St # a
Port Angeles, WA 98362-6126 - Phone
- (360) 670-1238
- NPI assigned
- Jun 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6393A | AZ | |
| Massage Therapist | 225700000X | MA 60303757 | WA | Primary |
Addresses
Primary practice location
111 E 7TH St # a
Port Angeles, WA 98362-6126
Mailing address
PO Box 1808
Port Angeles, WA 98362-0096
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 |
|---|---|---|---|
| 6393A | AZ | MD | Physical Therapy Assistant |
| MA 60303757 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1952561458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1808",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 7TH ST # A",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626126",
"telephone_number": "360-670-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REANDEAU",
"first_name": "ROSEMARIE",
"name_prefix": "Mrs.",
"credential": "LMP,PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "6393A",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60303757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.