Active NPI
Reisa A. Cole, L.M.P.
- Massage Therapist
- Everett, WA
National Provider Identifier
1962679217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA15347
- Practice address
- 1902 120TH PL SE,
Ste 102
Everett, WA 98208 - Phone
- (425) 268-6681
- Fax
- (425) 322-4424
- NPI assigned
- May 14, 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA15347 | WA | Primary |
| Specialist | 174400000X | MA000105347 | WA |
Addresses
Primary practice location
1902 120TH PL SE,
Ste 102
Everett, WA 98208
Mailing address
1902 120TH PL SE,
Ste 102
Everett, WA 98208
Phone (425) 268-6681
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 |
|---|---|---|---|
| MA000105347 | WA | MD | Specialist |
| MA15347 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1962679217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 120TH PL SE,",
"address_2": "STE 102",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-268-6681",
"fax_number": "425-322-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 120TH PL SE,",
"address_2": "STE 102",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-268-6681",
"fax_number": "425-322-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "REISA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA15347",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA000105347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.