Active NPI
John Brauneis
- Massage Therapist
- Burien, WA
National Provider Identifier
1043817513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61266030
- Practice address
- 17646 1St Ave S
Burien, WA 98148-1729 - Phone
- (253) 486-8783
- NPI assigned
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | RF61100386 | WA | |
| Massage Therapist | 225700000X | MA61266030 | WA | Primary |
Addresses
Primary practice location
17646 1St Ave S
Burien, WA 98148-1729
Mailing address
PO Box 783
Milton, WA 98354-0783
Phone (253) 486-8783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA61266030 | Other | WA | MASSAGE THERAPIST LICENSE |
| RF61100386 | Other | WA | REFLEXOLOGY CREDENTIAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.vitalizeseattle.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RF61100386 | WA | MD | Reflexologist |
| MA61266030 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1043817513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783",
"city": "MILTON",
"state": "WA",
"postal_code": "983540783",
"telephone_number": "253-486-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17646 1ST AVE S",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481729",
"telephone_number": "253-486-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNEIS",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-07",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "WA",
"license": "RF61100386",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61266030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST LICENSE",
"identifier": "MA61266030",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REFLEXOLOGY CREDENTIAL",
"identifier": "RF61100386",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.vitalizeseattle.com",
"affiliation": "N",
"address_1": "17646 1st Ave S",
"city": "Burien",
"state": "WA",
"country_code": "US",
"postal_code": "981481729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.