Active NPI
Charles Seamus Crane, MASS.MA.60007096
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1962828392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASS.MA.60007096
- Practice address
- 1961 Bay St
Port Orchard, WA 98366-5117 - Phone
- (360) 998-7792
- NPI assigned
- Mar 10, 2014
- 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 | MASS.MA.60007096 | WA | Primary |
Addresses
Primary practice location
1961 Bay St
Port Orchard, WA 98366-5117
Mailing address
3812 SE Donato LN
Port Orchard, WA 98367-7801
Phone (360) 998-7792
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 |
|---|---|---|---|
| MASS.MA.60007096 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1962828392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 SE DONATO LN",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677801",
"telephone_number": "360-998-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 BAY ST",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983665117",
"telephone_number": "360-998-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "CHARLES",
"middle_name": "SEAMUS",
"credential": "MASS.MA.60007096",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-10",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MASS.MA.60007096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.