Individual provider Active NPI

Courtney Helene Linclau, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1649424540
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60002863 Issued in WA
Practice address
10223 16TH Ave SW
Seattle, WA 98146-1433
Phone
(206) 764-9600
Fax
(206) 762-6600
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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 60002863 WA Primary

Addresses

Primary practice location

10223 16TH Ave SW
Seattle, WA 98146-1433

Mailing address

10223 16TH Ave SW
Seattle, WA 98146-1433
Phone (206) 764-9600

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
60002863WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindbody Medicine PC Massage Therapist Past Accepting new patients
Hill Chiropractic, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1649424540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461433",
            "telephone_number": "206-764-9600",
            "fax_number": "206-762-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461433",
            "telephone_number": "206-764-9600",
            "fax_number": "206-762-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCLAU",
        "first_name": "COURTNEY",
        "middle_name": "HELENE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60002863",
            "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 Nov 5, 2008; 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.