Active NPI
James Anderson
- Massage Therapist
- Enumclaw, WA
National Provider Identifier
1992912497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00023935
- Practice address
- 2520 Warner Ave
Enumclaw, WA 98022-2004 - Phone
- (360) 802-4808
- Fax
- (360) 825-7604
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | MA00023935 | WA | Primary |
Addresses
Primary practice location
2520 Warner Ave
Enumclaw, WA 98022-2004
Mailing address
12932 SE Kent Kangley Rd
Suite 438
Kent, WA 98030-7940
Phone (425) 392-1814
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00023935 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquis Massage Group, LLC | Massage Therapist | Past | Accepting new patients |
| Discover Chiropractic Group PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Massage Therapist
- Covington, WA
- NPI 1235274374
-
- Chiropractor
- Orofino, ID
- NPI 1043353865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992912497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12932 SE KENT KANGLEY RD",
"address_2": "SUITE 438",
"city": "KENT",
"state": "WA",
"postal_code": "980307940",
"telephone_number": "425-392-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 WARNER AVE",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222004",
"telephone_number": "360-802-4808",
"fax_number": "360-825-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enumclaw, WA
- Bobbijo Ainslie, LPN
- Kaleigh Lane Akers, ARNP
- Ruth Ellen Allen, COTA
- Chloe Noelle Anastasi, CF-SLP
- Denise Kay Anderson-Pohlman, LMP
- Ankle & Foot Specialists of Puget Sound, PS
- Ankle & Foot Specialists of Puget Sound, PS
- Aspire Physical Therapy LLC
- Assisted Living Concepts Inc
- Stephen G Atkinson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.