Individual provider Active NPI

Robert Michael Johnston, LMT

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1437842242
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61244744 Issued in WA
Practice address
13353 NE Bel Red Rd Ste 103
Bellevue, WA 98005-2329
Phone
(425) 679-5996
Fax
(425) 968-1033
NPI assigned
May 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61244744 WA Primary

Addresses

Primary practice location

13353 NE Bel Red Rd Ste 103
Bellevue, WA 98005-2329

Mailing address

9008 W Shorewood Dr Apt 502
Mercer Island, WA 98040-6215
Phone (714) 585-4074

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

LicenseStateTypeSpecialty
MA61244744WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic PT Health & Performance LLC CurrentSince Jun 4, 2023 Accepting new patients

Locations

13353 NE Bel Red Rd
Ste 103
Bellevue, WA 98005
Phone (425) 679-5996

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1437842242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 W SHOREWOOD DR APT 502",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980406215",
            "telephone_number": "714-585-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13353 NE BEL RED RD STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052329",
            "telephone_number": "425-679-5996",
            "fax_number": "425-968-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61244744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.