Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669181855 Individual Practitioner Male Practitioner

Changlong Su

Massage Therapist • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Changlong Su is a registered healthcare professional specializing in Massage Therapist in Bellevue, WA. Practice services are available at 12505 NE BEL RED RD STE 188 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12505 Ne Bel Red Rd Ste 188

Bellevue, WA 980052510

Telephone 4256872707
Fax 2063099063
Associated Practice Facility / Clinic
🏢 Wells Chiropractic Inc Ps. Facility NPI 1437359247

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
467 Specialists

Practicing in Bellevue, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-16
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA61012197

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1033257902
NPI 1043502131

Doctor of Chiropractic

Ling Ling Li

Massage Therapist

NPI 1225855315
Peishan Liang

Massage Therapist

NPI 1245871045
Jing Cao , LMP

Massage Therapist

NPI 1295961175

Licensed Massage Practitioner

Yimei Wang , LMP

Massage Therapist

NPI 1306107776

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2022

Registered at 12505 NE BEL RED RD STE 188, BELLEVUE, WA 980052510 (Tel: 4256872707)

📍
Updated Business Mailing Address November 16, 2022

Registered at 17631 115TH PL SE, RENTON, WA 980555236

👤
Provider Name / Credentials Updated November 16, 2022

Recorded as CHANGLONG SU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2022

Massage Therapist (License #MA61012197 in WA)

🟢
Initial NPI Registration & Enumeration November 16, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669181855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2022
Last Update: November 16, 2022
Sole Proprietor: Yes

Mailing Address

17631 115th Pl Se

Renton, WA 980555236

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.