Active NPI
Sam Lawrence Cobb
- Massage Therapist
- Spokane, WA
National Provider Identifier
1962202093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61669709
- Practice address
- 101 E Hastings Rd
Spokane, WA 99218-4901 - Phone
- (509) 340-3303
- NPI assigned
- Mar 17, 2025
- Sex
- Male
- 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 | 61669709 | WA | Primary |
Addresses
Primary practice location
101 E Hastings Rd
Spokane, WA 99218-4901
Mailing address
633 W Glass Ave # B
Spokane, WA 99205-2962
Phone (509) 936-4817
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 |
|---|---|---|---|
| 61669709 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1962202093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W GLASS AVE # B",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992052962",
"telephone_number": "509-936-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E HASTINGS RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992184901",
"telephone_number": "509-340-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "SAM",
"middle_name": "LAWRENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61669709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.