Active NPI
Mariah Burkett, LMT
- Massage Therapist
- Arlington, WA
National Provider Identifier
1619675972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61406077
- Practice address
- 3710 168TH St NE Ste A102
Arlington, WA 98223-8462 - Phone
- (971) 328-1293
- Fax
- (360) 844-1839
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- 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 | MA61406077 | WA | Primary |
Addresses
Primary practice location
3710 168TH St NE Ste A102
Arlington, WA 98223-8462
Mailing address
3629 139TH St NW
Tulalip, WA 98271-7106
Phone (425) 563-5446
Other practice location 1
19410 36th Ave W Ste 9
Lynnwood, WA 98036-5747
Phone (425) 670-0970
Other names 1
- Mars Burkett
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 |
|---|---|---|---|
| MA61406077 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Recovery Clinic LLC | Massage Therapist | Past | Accepting new patients |
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.
-
- Massage Therapist
- Lynnwood, WA
- NPI 1649492687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1619675972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 139TH ST NW",
"city": "TULALIP",
"state": "WA",
"postal_code": "982717106",
"telephone_number": "425-563-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 168TH ST NE STE A102",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238462",
"telephone_number": "971-328-1293",
"fax_number": "360-844-1839"
}
],
"practiceLocations": [
{
"address_1": "19410 36th Ave W Ste 9",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980365747",
"country_code": "US",
"telephone_number": "425-670-0970",
"fax_number": "425-670-0940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKETT",
"first_name": "MARIAH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61406077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARS",
"last_name": "BURKETT",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.