Performance Myotherapy NW LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PERFORMANCE MYOTHERAPY NW LLC

Practice address

11545 15TH Ave NE Ste 305
Seattle, WA 98125-6358

Phone

(425) 343-8267

Fax

(425) 374-3435

NPI assigned

Apr 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Robert Johnson, LMTNPI 1821191842

Title

Massage Therapist

Phone

(425) 343-8267

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Johnson, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1821191842
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1114770872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11132 17TH ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587939",
            "telephone_number": "425-343-8267",
            "fax_number": "425-374-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 15TH AVE NE STE 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256358",
            "telephone_number": "425-343-8267",
            "fax_number": "425-374-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MYOTHERAPY NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "425-343-8267",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Perfect, DNP
• Perfectly Queer Counseling
• Amber Mae Perfili, BASW
• Performance Foot and Ankle Specialists, LLC
• Performance Modalities Inc
• Steven Pergam, MD
• Bruce William Perham, LICSW
• Pericline Wellness, PLLC
• Nicole Perigard, RD
• Laura Marie Periman, MD

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.