Active NPI
Mathew Russell, LMT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1225923352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61613531
- Practice address
- 4634 E Marginal Way S Ste C120
Seattle, WA 98134-2328 - Phone
- (206) 932-7943
- NPI assigned
- Jun 10, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61613531 | WA | Primary |
Addresses
Primary practice location
4634 E Marginal Way S Ste C120
Seattle, WA 98134-2328
Mailing address
9358 California Ave SW
Seattle, WA 98136-2821
Phone (206) 949-0314
Other practice location 1
9358 California Ave SW
Seattle, WA 98136-2821
Phone (206) 949-0314
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 |
|---|---|---|---|
| MA61613531 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Sports Chiropractic & Physical Therapy | Massage Therapist | Current | Accepting new patients |
| Alpenglow Bodywork | Massage Therapist | Current | Accepting new patients |
| Fuel Spine & Sports Therapy | Current | Accepting new patients |
Locations
4634 E Marginal Way S
Ste C120
Seattle, WA 98134
Phone (206) 932-7943
Organizations & group practices 3
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.
-
- Massage Therapist
- Seattle, WA
- NPI 1760346548
-
- Chiropractor
- Seattle, WA
- NPI 1548647498
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1932888518
Massage Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1225923352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9358 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981362821",
"telephone_number": "206-949-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4634 E MARGINAL WAY S STE C120",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981342328",
"telephone_number": "206-932-7943"
}
],
"practiceLocations": [
{
"address_1": "9358 California Ave SW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981362821",
"country_code": "US",
"telephone_number": "206-949-0314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "MATHEW",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61613531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.