Individual provider Active NPI

Adam Steve Salvatierra, LMT

  • Massage Therapist
  • Redmond, WA
National Provider Identifier
1972347706
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61048394 Issued in WA
Practice address
3925 159TH Ave NE
Redmond, WA 98052-6309
Phone
(425) 216-0550
NPI assigned
Jun 25, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61048394 WA Primary

Addresses

Primary practice location

3925 159TH Ave NE
Redmond, WA 98052-6309

Mailing address

2003 NW 57TH St Unit 309
Seattle, WA 98107-5538
Phone (206) 234-1735

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
MA61048394WAMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: tarzan.salvatierra@70976835354628.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1972347706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 NW 57TH ST UNIT 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075538",
            "telephone_number": "206-234-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 159TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526309",
            "telephone_number": "425-216-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATIERRA",
        "first_name": "ADAM",
        "middle_name": "STEVE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61048394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.