FITNESS RECOVERY ROOM LLC (NPI# 1013453554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013453554 |
| Entity Type | Organization |
| Organization Name | FITNESS RECOVERY ROOM LLC |
| Other Organization Name | HAWKS PRAIRIE MASSAGE CLINIC |
| Practice Address |
8830 Tallon Ln Ne F Lacey WA 98516-6656 |
| Practice Telephone | 3608192877 |
| Mailing Telephone | 3608192877 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | JAMIL ELLINGER (OWNER/REGISTERED AGENT) |
| Authorized Official Telephone | 3609514893 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 603440613 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hawks Prairie Massage Clinic | Doing Business As Name - Organization |
| Street Address |
8830 TALLON LN NE F |
| City | LACEY |
| State | WA |
| Zip Code | 98516-6656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265796411 | Melissa J Mercer | Specialist | 8830 Tallon Ln Ne, Lacey, WA 98516-6641 | 2012-07-02 |
| 1386000115 | Jamil Ellinger | Massage Therapist | 8830 Tallon Ln Ne, Ste F, Lacey, WA 98516-6656 | 2016-01-09 |
| 1902283831 | April Ajayya Godsey, LLC | Community/Behavioral Health | 8830 Tallon Ln Ne, Suite E, Lacey, WA 98516-6656 | 2015-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801450952 | Washington Center for Pain Management Pllc | Clinic/Center | 5602 Ruddell Rd Se Ste A, Lacey, WA 98503-5163 | 2019-04-24 |
| 1215431697 | Providence Health & Services Washington | Clinic/Center | 4800 College St Se, Lacey, WA 98503-4389 | 2018-03-21 |
| 1801211255 | New Leaf Hyperbarics Olympia | Clinic/Center | 8730 Tallon Ln Ne, Suite 104, Lacey, WA 98516-6609 | 2014-02-21 |
| 1235464850 | Khy Optometry & Associates, Pllc | Clinic/Center | 1350 Marvin Rd Ne Ste D, Lacey, WA 98516-3877 | 2009-10-15 |
| 1063611408 | Providence Health & Services Washington | Clinic/Center | 420 Golf Club Rd Se, Suite 203, Lacey, WA 98503-1048 | 2007-07-16 |
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|---|---|---|---|---|
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| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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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.