NPIMap

Organization Active NPI

Papa Tonys Enterprise

Doing business as Elements Therapeutic Massage

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1992017834
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60036541 Issued in WA
Legal business name
PAPA TONYS ENTERPRISE
Doing business as
Elements Therapeutic Massage
Practice address
325 S Sullivan Rd
Spokane Valley, WA 99037-6000
Phone
(509) 928-9098
Fax
(509) 928-9091
NPI assigned
Jul 8, 2010
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mrs. Kristina L Porter, LMP
Title
Massage Therapist
Phone
(509) 998-2786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MA60036541 WA Primary

Addresses

Primary practice location

325 S Sullivan Rd
Spokane Valley, WA 99037-6000

Mailing address

325 S Sullivan Rd
Spokane Valley, WA 99037-6000
Phone (509) 928-9098

Other names 1

  • Elements Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elements Therapeutic Massage2 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.

Locations

325 S Sullivan Rd
Spokane Valley, WA 99037
Phone (509) 928-9098

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1992017834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S SULLIVAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990376000",
            "telephone_number": "509-928-9098",
            "fax_number": "509-928-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S SULLIVAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990376000",
            "telephone_number": "509-928-9098",
            "fax_number": "509-928-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPA TONYS ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "509-998-2786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60036541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.