Active NPI
Ronald Glenn Colyer Jr., L.M.P.
- Massage Therapist
- Burlington, WA
National Provider Identifier
1316288566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60331538
- Practice address
- 160 Cascade PL
Suite 106
Burlington, WA 98233-3126 - Phone
- (360) 941-4243
- NPI assigned
- Mar 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | MA60331538 | WA | Primary |
Addresses
Primary practice location
160 Cascade PL
Suite 106
Burlington, WA 98233-3126
Mailing address
17771 Dunbar Rd
Mount Vernon, WA 98273-8751
Phone (425) 466-3140
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 |
|---|---|---|---|
| MA60331538 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1316288566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17771 DUNBAR RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982738751",
"telephone_number": "425-466-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CASCADE PL",
"address_2": "SUITE 106",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333126",
"telephone_number": "360-941-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLYER",
"first_name": "RONALD",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-13",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60331538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, WA
- Linda Lu Clemens, D.C.
- Richard Dean Clemens, D.C.
- Coastal Administrative Services, Inc. (Cas)
- Robin Coe, CDPT
- Anne Cohen, M.A., LMHC
- Casey William Cook, LMP
- Lacey Cope, SUDP
- Costco Wholesale Corporation (Costco Optical #662)
- Costco Wholesale Corporation (Costco Hearing Aid #662)
- Costco Wholesale Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.