Fay Joseph Bursell, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60111614 Issued in WA

Practice address

15811 Ambaum Blvd SW
Suite 110
Burien, WA 98166-3066

Phone

(206) 242-8211

Fax

(206) 242-0162

NPI assigned

Mar 11, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1235452673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 AMBAUM BLVD SW",
            "address_2": "SUITE 110",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663066",
            "telephone_number": "206-242-8211",
            "fax_number": "206-242-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 AMBAUM BLVD SW",
            "address_2": "SUITE 110",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663066",
            "telephone_number": "206-242-8211",
            "fax_number": "206-242-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSELL",
        "first_name": "FAY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60111614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burien Medical Investors, LLC
• Burien Operations, LLC
• Burien Post-Acute Services Inc
• Allie Burke, AUD
• Michelle Nicole Burkhard, COTA/L
• Daniel Walker Bushyhead, MD
• Pierre-Yves Frederic Butheau, M.S.P.T.
• David J. Butler, M.D.
• Jefferson Butler
• Cindy Cabalo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.