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

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  • 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 11 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 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
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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.

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

BRUCE CORNS LMP

Authorized Official Title
OWNER
Authorized Official Phone
(253) 564-5828

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 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 1750759585, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 4 + 5 + 1 + 8 + 5 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1750759585.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Dentist
4113 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Dentist
4113 BRIDGEPORT WAY W, SUITE A
UNIVERSITY PLACE, WA 98466
Counselor (Mental Health)
4113 BRIDGEPORT WAY W, SUITE C-1
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Neonatal)
4113 BRIDGEPORT WAY W, SUITE F
UNIVERSITY PLACE, WA 98466
Massage Therapist
4113 BRIDGEPORT WAY W, STE. B
UNIVERSITY PLACE, WA 98466
Massage Therapist
4113 BRIDGEPORT WAY W, STE B
UNIVERSITY PLACE, WA 98466
Counselor (Mental Health)
4113 BRIDGEPORT WAY W, STE C1
UNIVERSITY PLACE, WA 98466
Counselor (Mental Health)
4113 BRIDGEPORT WAY W, STE C-1
UNIVERSITY PLACE, WA 98466
Massage Therapist
4113 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Counselor (Mental Health)
4113 BRIDGEPORT WAY W, SUITE C2
UNIVERSITY PLACE, WA 98466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750759585, enumerated 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.

Massage Therapist with taxonomy code 225700000X.