Active NPI
Heidi Verlene Branch, LMT
- Massage Therapist
- Spokane, WA
National Provider Identifier
1972137974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61049165
- Practice address
- 8701 N Division St Ste F
Spokane, WA 99218-1131 - Phone
- (509) 381-5906
- NPI assigned
- Feb 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61049165 | WA | Primary |
Addresses
Primary practice location
8701 N Division St Ste F
Spokane, WA 99218-1131
Mailing address
3022 W Eloika Ave
Spokane, WA 99205-7255
Phone (509) 868-3993
Other practice location 1
3022 W Eloika Ave
Spokane, WA 99205-7255
Phone (509) 868-3993
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 |
|---|---|---|---|
| MA61049165 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Free Motion Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
Locations
8701 N Division St
Ste F
Spokane, WA 99218
Phone (509) 381-5906
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Spokane, WA
- NPI 1437796281
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1972137974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 W ELOIKA AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992057255",
"telephone_number": "509-868-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 N DIVISION ST STE F",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181131",
"telephone_number": "509-381-5906"
}
],
"practiceLocations": [
{
"address_1": "3022 W Eloika Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992057255",
"country_code": "US",
"telephone_number": "509-868-3993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANCH",
"first_name": "HEIDI",
"middle_name": "VERLENE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61049165",
"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 Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.