NORTHWEST THERAPEUTIC MASSAGE
NPI 1750759585
Massage Therapist in University Place, WA
NPI Status: Active since September 10, 2015
Contact Information
4113 BRIDGEPORT WAY W
SUITE B
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 564-5828
Fax: (253) 564-0115
- Organization
- Massage Therapist
- CLIA Number: 50D2253552
- CLIA Cert. Type: Other - SUPPORTED LIVING
- CLIA Exp. Date: 04-04-2028
About NORTHWEST THERAPEUTIC MASSAGE
This page provides the complete NPI Profile along with additional information for Northwest Therapeutic Massage, a provider established in University Place, Washington operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1750759585 assigned on September 2015. The practitioner's primary taxonomy code is 225700000X with license number MA00022176 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Bruce Corns Lmp (Owner)
- NPI
- 1750759585
- Provider Name
- NORTHWEST THERAPEUTIC MASSAGE
- Entity Type
- Organization
- Location Address
- 4113 BRIDGEPORT WAY W SUITE B UNIVERSITY PLACE, WA 98466
- Location Phone
- (253) 564-5828
- Location Fax
- (253) 564-0115
- Mailing Address
- 4113 BRIDGEPORT WAY W SUITE B UNIVERSITY PLACE, WA 98466
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-10-2015
- Last Update Date
- 09-10-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA00022176
- License State
- WA
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2253552
- Facility Type
- Other - SUPPORTED LIVING
- Certificate Effective Date
- February 22, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- LISA JOHNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northwest Therapeutic Massage to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 5 | 9 | 5 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 5 | 18 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 5 + 1 + 8 + 5 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1750759585 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649477621 | DR. WILLIAM JOHN HARRIS DDS Individual | Dentist | 4113 BRIDGEPORT WAY W UNIVERSITY PLACE, WA 98466 (253) 564-6341 |
| 1215235270 | YOUNG JEREMIAH YOON, DMD,RPH, PC Organization | Dentist | 4113 BRIDGEPORT WAY W SUITE A UNIVERSITY PLACE, WA 98466 (253) 564-6341 |
| 1215109244 | THOMAS AMOS LMHC Individual | Counselor (Mental Health) | 4113 BRIDGEPORT WAY W SUITE C-1 UNIVERSITY PLACE, WA 98466 (253) 306-1490 |
| 1225021934 | KRISTIE K MARBUT ARNP Individual | Nurse Practitioner (Neonatal) | 4113 BRIDGEPORT WAY W SUITE F UNIVERSITY PLACE, WA 98466 (253) 565-7686 |
| 1902288715 | TOMAS SHASH L.M.P. B.S.-BIO Individual | Massage Therapist | 4113 BRIDGEPORT WAY W STE. B UNIVERSITY PLACE, WA 98466 (253) 564-5828 |
| 1851745806 | BETHANY FRENCH LMP Individual | Massage Therapist | 4113 BRIDGEPORT WAY W STE B UNIVERSITY PLACE, WA 98466 (253) 564-5828 |
| 1205289360 | SUNRISE PSYCHOLOGY, LLC Organization | Counselor (Mental Health) | 4113 BRIDGEPORT WAY W STE C1 UNIVERSITY PLACE, WA 98466 (253) 987-6825 |
| 1811138175 | DAWN M BREIKSS LMHC Individual | Counselor (Mental Health) | 4113 BRIDGEPORT WAY W STE C-1 UNIVERSITY PLACE, WA 98466 (253) 987-6825 |
| 1316421720 | CHRISTIE C HIM Individual | Massage Therapist | 4113 BRIDGEPORT WAY W UNIVERSITY PLACE, WA 98466 (253) 564-5828 |
| 1326530551 | MR. BRUCE ALLEN WILSON JR. MED Individual | Counselor (Mental Health) | 4113 BRIDGEPORT WAY W SUITE C2 UNIVERSITY PLACE, WA 98466 (253) 625-3959 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750759585, enumerated in the NPI registry as an "organization" on September 10, 2015
The provider is located at 4113 Bridgeport Way W Suite B University Place, Wa 98466 and the phone number is (253) 564-5828
This medical organization specializes in Massage Therapist with taxonomy code 225700000X
The provider's CLIA number is 50D2253552 for a "other - supported living" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 10, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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