Individual provider Active NPI

Heidi Verlene Branch, LMT

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1972137974
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61049165 Issued in WA
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

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
MA61049165WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Free Motion Physical Therapy LLC Single Specialty CurrentSince Jun 21, 2020 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.

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.

Verify at the official NPI Registry.