Individual provider Active NPI

Rose Shahbaghlian, LMT

  • Massage Therapist
  • East Wenatchee, WA
National Provider Identifier
1952963217
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60924328 Issued in WA
Practice address
100 Eastmont Ave Ste B2
East Wenatchee, WA 98802-7706
Phone
(509) 888-4840
NPI assigned
Jul 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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 MA60924328 WA Primary

Addresses

Primary practice location

100 Eastmont Ave Ste B2
East Wenatchee, WA 98802-7706

Mailing address

12 N Emerson Ave
Wenatchee, WA 98801-2655
Phone (425) 466-7714

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
MA60924328WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1952963217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N EMERSON AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012655",
            "telephone_number": "425-466-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EASTMONT AVE STE B2",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027706",
            "telephone_number": "509-888-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAGHLIAN",
        "first_name": "ROSE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60924328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.