JOY MICHELLE DERRISO (NPI# 1215156161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215156161 |
| Entity Type | Individual |
| Full Name | JOY MICHELLE DERRISO |
| Credential | LMT |
| Practice Address |
4040 Orchard St W Suite 100 Fircrest WA 98466-6606 |
| Practice Telephone | 2535641560 |
| Practice Fax Number | 2535644449 |
| Mailing Telephone | 2535641560 |
| Mailing Fax Number | 2535644449 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60617275 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4040 ORCHARD ST W SUITE 100 |
| City | FIRCREST |
| State | WA |
| Zip Code | 98466-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871570754 | Michael Bruce Bishop | Physical Therapist | 4040 Orchard St W, Ste. 100, Fircrest, WA 98466-6606 | 2005-12-30 |
| 1770018376 | Carla Pedey | Physical Therapist | 4040 Orchard St W, Suite 100, Fircrest, WA 98466-6606 | 2017-04-21 |
| 1851844286 | Daniel Krueger | Physical Therapist | 4040 Orchard St W, Ste. 100, Fircrest, WA 98466-6606 | 2016-08-02 |
| 1982941001 | Benjamin Randolph Grover | Physical Therapist | 4040 Orchard St W, Ste. 100, Fircrest, WA 98466-6606 | 2013-01-09 |
| 1164771788 | Andrew Richard Branchflower | Physical Therapist | 4040 Orchard St W, Ste. 100, Fircrest, WA 98466-6606 | 2012-08-29 |
| 1972808293 | Amanda Rita Lashells | Massage Therapist | 4040 Orchard St W, 100, Fircrest, WA 98466-6606 | 2011-01-18 |
| 1326026634 | Phuong Nguyen | Dentist | 4040 Orchard St W, Fircrest, WA 98466-6615 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365360 | Lynda Day | Massage Therapist | 1558 Cypress Point Ave, Fircrest, WA 98466-6638 | 2017-02-20 |
| 1295193092 | Elena Polozkova | Massage Therapist | 1302 Farallone Ave, Fircrest, WA 98466-6700 | 2016-02-08 |
| 1811279961 | Camille Wilma-sandra Johnston | Massage Therapist | 1303 Regents Blvd Apt D, Fircrest, WA 98466-6002 | 2011-09-14 |
| 1326328394 | Adriana Haberlach | Massage Therapist | 2079 Mildred St W, Fircrest, WA 98466-6133 | 2011-08-23 |
| 1154636058 | Elsbeth D. Moody | Massage Therapist | 1033 Regents Blvd. Ste 204, Fircrest, WA 98466 | 2010-08-16 |
| 1386887024 | Ashley Autumn Lee | Massage Therapist | 612 San Juan Avenue, Fircrest, WA 98466 | 2009-04-10 |
| 1326212507 | Cecile F Staples | Massage Therapist | 1328 Boise St, Fircrest, WA 98466-7919 | 2008-04-17 |
| 1639272933 | Mvp Physical Therapy, Inc. | Massage Therapist | 4040 Orchard St. W., Suite 100, Fircrest, WA 98466 | 2006-09-06 |
| 1689197204 | Payton Rain Matherly | Massage Therapist | 6314 19th St W Ste 11, Fircrest, WA 98466-6223 | 2017-07-25 |
| 1760858831 | Nevin Michael Hair | Massage Therapist | 6314 19th St W, Suite# 11, Fircrest, WA 98466-6223 | 2015-08-12 |
| Find all providers in FIRCREST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.