MS. MARY IDA FREITAS (NPI# 1316137185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316137185 |
| Entity Type | Individual |
| Full Name | MS. MARY IDA FREITAS |
| Credential | LMP |
| Practice Address |
5322 Orchard Street West University Place WA 98467 |
| Mailing Address |
2320 Maple Ln Steilacoom WA 98388-4110 |
| Practice Telephone | 2534763333 |
| Mailing Telephone | 2535764872 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2012-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00022879 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073934527 | Mary Freitas | Specialist | 351 Saint Nicholas Ave Apt 54, New York, NY 10027-7651 | 2013-12-31 |
| Street Address |
5322 ORCHARD STREET WEST |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1801309091 | Penny L Crawford | Registered Nurse | 5424 57th Ave Ct. W., G8, University Place, WA 98467 | 2017-11-09 |
| 1316465578 | C.f. Bridgeport, LLC | Assisted Living Facility | 5250 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1689127037 | Rachel Ann Cruz | Counselor | 5915 Orcahrd St W, Tacoma, WA 98467 | 2016-08-02 |
| 1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
| 1740519701 | Laura Jean Hubert | Physical Therapist | 5520 Bridgeport Way, University Place, WA 98467 | 2009-12-21 |
| 1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
| 1770751083 | Orchard Medical Clinic | Internal Medicine | 5320 Orchard St W, University Place, WA 98467 | 2008-02-20 |
| Find all providers in zip 98467 | ||||
| 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 |
|---|---|---|---|---|
| 1487287223 | University Place Massage, LLC | Massage Therapist | 3318 Bridgeport Way W Ste D2, University Place, WA 98466-4598 | 2020-02-20 |
| 1699312488 | Travis Judd | Massage Therapist | 2708 Locust Ave W, University Place, WA 98466-3409 | 2019-11-29 |
| 1891262531 | Vanessa Diane Walters | Massage Therapist | 4009 Bridgeport Way W Ste E-7, University Place, WA 98466-4326 | 2018-10-31 |
| 1316412604 | Kevin Liddle II | Massage Therapist | 2714 Sunset Dr W, University Place, WA 98466-2735 | 2018-10-12 |
| 1174000905 | Tyra Lynn Hart | Massage Therapist | 5805 60th St W, University Place, WA 98467-2831 | 2018-07-24 |
| 1083139414 | Antonietta Ramirez | Massage Therapist | 3560 Bridgeport Way W Ste 2a, University Place, WA 98466-4446 | 2017-08-07 |
| 1215488838 | Amy Lynn Beyette | Massage Therapist | 3807 78th Avenue Ct W, L301, University Place, WA 98466-3257 | 2016-10-19 |
| 1962951707 | Alexandra Marie Finley-yip | Massage Therapist | 3102 Bridgeport Way W, University Place, WA 98466-4525 | 2016-09-21 |
| 1588050249 | Chrissanda Walker | Massage Therapist | 2811 Bridgeport Way W, Suite 17, University Place, WA 98466-4638 | 2015-04-09 |
| 1144633538 | Jeffrey Aleff Jr. | Massage Therapist | 7418 56th Street Ct W Apt B, University Place, WA 98467-2189 | 2014-06-04 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98467 |
Please comment or provide details below to improve the information on MS. MARY IDA FREITAS.
| 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.