Active NPI
Edward Lyden, LMT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1427430107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026235
- Practice address
- 5711 24TH Ave NW
#405
Seattle, WA 98107-3456 - Phone
- (203) 980-5083
- NPI assigned
- Jun 18, 2015
- 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 | 026235 | NY | Primary |
Addresses
Primary practice location
5711 24TH Ave NW
#405
Seattle, WA 98107-3456
Mailing address
5711 24TH Ave NW
# 405
Seattle, WA 98107-3456
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1427430107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 24TH AVE NW",
"address_2": "# 405",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 24TH AVE NW",
"address_2": "#405",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073456",
"telephone_number": "203-980-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDEN",
"first_name": "EDWARD",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "026235",
"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 18, 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.