CRYSTAL ANN LAKE LMT
NPI 1508344383
Massage Therapist in Sumner, WA

NPI Status: Active since August 02, 2018

Contact Information

5814 GRAHAM AVE STE 101
SUMNER, WA
ZIP 98390
Phone: (253) 891-7093
Fax: (951) 973-7216

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  • Individual
  • Female
  • Massage Therapist
  • Accepts Insurance

About CRYSTAL LAKE

This page provides the complete NPI Profile along with additional information for Crystal Lake, a provider established in Sumner, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1508344383 assigned on August 2018. The practitioner's primary taxonomy code is 225700000X with license number MA60879902 (WA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1508344383
Provider Name
CRYSTAL ANN LAKE LMT
Gender
Female
Entity Type
Individual
Location Address
5814 GRAHAM AVE STE 101 SUMNER, WA 98390
Location Phone
(253) 891-7093
Location Fax
(951) 973-7216
Mailing Address
5814 GRAHAM AVE STE 101 SUMNER, WA 98390
Mailing Phone
(253) 891-7093
Mailing Fax
(951) 973-7216
Is Sole Proprietor?
No
Enumeration Date
08-02-2018
Last Update Date
08-02-2018
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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.
MA60879902
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MA60879902OTHER (01)WAMASSAGE THERAPY LICENSE

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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 1508344383, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 0 → 0 3 → 6 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 6 + 4 + 8 + 3 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1508344383.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Specialist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Physical Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Physical Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390
Massage Therapist
5814 GRAHAM AVE STE 101
SUMNER, WA 98390

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508344383, enumerated as an "individual" on August 02, 2018.

The provider is located at 5814 GRAHAM AVE STE 101 SUMNER, WA 98390 and the phone number is (253) 891-7093.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.