Individual provider Active NPI

Brenda Lois Castine, L.M.P., L.M.T

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1982919932
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60133714 Issued in WA
Practice address
11818 SE Mill Plain Blvd Ste 311B
Vancouver, WA 98684-5091
Phone
(360) 831-1936
NPI assigned
Aug 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 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 MA60133714 WA Primary

Addresses

Primary practice location

11818 SE Mill Plain Blvd Ste 311B
Vancouver, WA 98684-5091

Mailing address

13011 NE Pinebrook St
Vancouver, WA 98684-0853
Phone (360) 831-1936

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
MA60133714WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1982919932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 NE PINEBROOK ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840853",
            "telephone_number": "360-831-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 SE MILL PLAIN BLVD STE 311B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845091",
            "telephone_number": "360-831-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTINE",
        "first_name": "BRENDA",
        "middle_name": "LOIS",
        "credential": "L.M.P., L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-15",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60133714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.