Brooke Kathryn Burkett, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60244060 Issued in WA

Practice address

3220 Mission Beach Rd
Tulalip, WA 98271-9736

Phone

(206) 852-2241

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic PT Health & Performance LLC

  • Physical Therapist
  • Tacoma, WA
  • NPI 1407282734
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1184977290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12550",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982062550",
            "telephone_number": "206-852-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MISSION BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719736",
            "telephone_number": "206-852-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "BROOKE",
        "middle_name": "KATHRYN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60244060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynne Berry, RN
• Marlyce Black, LMP
• Cinda Jo Bolette
• Tory L Booth, MA, LMFT, ATR
• Sandra Breaux
• Ashley Monique Burress, PHARMD
• Caring Hands Home Health Care
• Suk Choo Chang, MD
• Marie L. Cross, C.D.P.
• Ryan Cuddy, CO 61009527

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.