Individual provider Active NPI

Mariah Burkett, LMT

  • Massage Therapist
  • Arlington, WA
National Provider Identifier
1619675972
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61406077 Issued in WA
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

Updated by the provider on Jan 23, 2024

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 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 Other name

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
MA61406077WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Recovery Clinic LLC Massage Therapist PastSince Feb 1, 2023 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.

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.

Verify at the official NPI Registry.