Active NPI
Jesse David Childers, LMT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1447745468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60854058
- Practice address
- 509 Olive Way Ste 1407
Seattle, WA 98101-1746 - Phone
- (206) 853-1530
- NPI assigned
- Jun 22, 2018
- 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 | MA60854058 | WA | Primary |
Addresses
Primary practice location
509 Olive Way Ste 1407
Seattle, WA 98101-1746
Mailing address
531 Bellevue Ave E Apt 4
Seattle, WA 98102-6830
Phone (206) 420-9378
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 |
|---|---|---|---|
| MA60854058 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1447745468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 BELLEVUE AVE E APT 4",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981026830",
"telephone_number": "206-420-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1407",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011746",
"telephone_number": "206-853-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "JESSE",
"middle_name": "DAVID",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60854058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Child and Adolescent Psychological Services of Seattle, PLLC
- Child Psychology Northwest, P.S.
- Daniel David Child, MD, PHD
- Charles Kristian Childers, MD
- Christopher Childers, M.D.
- Martin K Childers, DO, PHD
- Children'S Communication Corner
- Children'S Home Society of Washington
- Children'S Hospital & Regional Medical Center 2
- Children'S Hospital and Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.