Daniel Revette, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60792974 Issued in WA

Practice address

4010 Stone Way N
Seattle, WA 98103-8099

Phone

(602) 672-6596

NPI assigned

Sep 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: daniel.revette@49412312072196.direct.elationemr.com

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1194234484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SEAVIEW AVE NW STE 160",
            "address_2": "#1003",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038099",
            "telephone_number": "602-672-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Seaview Ave NW Slip J16",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981176006",
            "country_code": "US",
            "telephone_number": "602-672-6596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVETTE",
        "first_name": "DANIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60792974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICNESE",
            "identifier": "MA60792974",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Toscano Reveles
• Geanna N Revell, RDN, CD
• Marci Revelli, MS CCC/SLP
• Roma Moriah Revels, RN
• Reverve LLC
• Ronelle Revilla
• Gabija Revis, DMD
• Revive Behavioral Health
• Revive Health Concierge
• Revive Low T, LLC

• 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 Oct 24, 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.

Verify at the official NPI Registry.