Organization Active NPI

Massage Center of Bellevue

  • Massage Therapist
  • Woodinville, WA
National Provider Identifier
1962860650
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60619703 Issued in WA
Legal business name
MASSAGE CENTER OF BELLEVUE
Practice address
17020 166TH PL NE
Woodinville, WA 98072-8955
Phone
(206) 919-1996
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Ashley StanleyNPI 1306290754
Title
LMP
Phone
(206) 919-1996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60619703 WA Primary

Addresses

Primary practice location

17020 166TH PL NE
Woodinville, WA 98072-8955

Mailing address

17020 166TH PL NE
Woodinville, WA 98072-8955
Phone (206) 919-1996

Other identifiers 1

IdentifierTypeStateIssuer
MA60619703OtherWAMASSAGE THERAPY

National Provider Directory

National Provider Directory
Tax ID family
Massage Center of Bellevue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1962860650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 166TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728955",
            "telephone_number": "206-919-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 166TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728955",
            "telephone_number": "206-919-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE CENTER OF BELLEVUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "206-919-1996"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60619703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MA60619703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.