NORTH WEST ROOTS WELLNESS CENTER
NPI 1033605654
Massage Therapist in Redmond, WA

NPI Status: Active since July 06, 2018

Contact Information

17090 AVONDALE WAY NE
REDMOND, WA
ZIP 98052
Phone: (425) 518-2337

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  • Organization
  • Massage Therapist
  • CLIA Number: 50D0630682
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About NORTH WEST ROOTS WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for North West Roots Wellness Center, a provider established in Redmond, Washington operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1033605654 assigned on July 2018. The practitioner's primary taxonomy code is 225700000X with license number MA60455117 (WA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jennie L Mills Lmt (Owner)

NPI
1033605654
Provider Name
NORTH WEST ROOTS WELLNESS CENTER
Entity Type
Organization
Location Address
17090 AVONDALE WAY NE REDMOND, WA 98052
Location Phone
(425) 518-2337
Mailing Address
827 MILLS PL NE NORTH BEND, WA 98045
Mailing Phone
(425) 518-2337
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2018
Last Update Date
07-06-2018
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Location Map

Secondary Locations

  • 231 Bendigo Blvd N
    North Bend, WA 98045
    (425) 518-2337

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.
MA60455117
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIE L MILLS LMT

Authorized Official Title
OWNER
Authorized Official Phone
(425) 518-2337

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
50D0630682
Facility Type
Physician Office
Certificate Effective Date
August 31, 1994
Certificate Expiration Date
April 04, 2028
Laboratory Director
M WEISS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to North West Roots Wellness Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033605654, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 2 + 0 + 1 + 0 + 6 + 1 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1033605654.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Chiropractor
17090 AVONDALE WAY NE
REDMOND, WA 98052
Massage Therapist
17090 AVONDALE WAY NE
REDMOND, WA 98052
Massage Therapist
17090 AVONDALE WAY NE
REDMOND, WA 98052
Massage Therapist
17090 AVONDALE WAY NE
REDMOND, WA 98052
Massage Therapist
17090 AVONDALE WAY NE
REDMOND, WA 98052
Massage Therapist
17090 AVONDALE WAY NE
REDMOND, WA 98052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033605654, enumerated as an "organization" on July 06, 2018.

The provider is located at 17090 AVONDALE WAY NE REDMOND, WA 98052 and the phone number is (425) 518-2337.

Massage Therapist with taxonomy code 225700000X.