Active NPI
Penny M. Groshong, LMP
- Massage Therapist
- Everett, WA
National Provider Identifier
1992240782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2804 Grand Ave
Ste 301
Everett, WA 98201 - Phone
- (425) 319-7083
- Fax
- (360) 652-7687
- NPI assigned
- Jan 3, 2017
- 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 | Primary |
Addresses
Primary practice location
2804 Grand Ave
Ste 301
Everett, WA 98201
Mailing address
PO Box 3647
Arlington, WA 98223
Phone (425) 319-7083
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1992240782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3647",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "98223",
"telephone_number": "425-319-7083",
"fax_number": "360-652-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 GRAND AVE",
"address_2": "STE 301",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "425-319-7083",
"fax_number": "360-652-7687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSHONG",
"first_name": "PENNY",
"middle_name": "M.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.