Individual provider Active NPI

Bryan T Deforrest, M.A.

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1649565722
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60075925 Issued in WA
Practice address
650 S Orcas St Ste 222
Seattle, WA 98108-2652
Phone
(206) 816-0960
Fax
(855) 272-1649
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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 MA60075925 WA Primary

Addresses

Primary practice location

650 S Orcas St Ste 222
Seattle, WA 98108-2652

Mailing address

650 S Orcas St Ste 222
Seattle, WA 98108-2652
Phone (206) 816-0960

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MA60075925WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Moment for You PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1649565722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S ORCAS ST STE 222",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082652",
            "telephone_number": "206-816-0960",
            "fax_number": "855-272-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S ORCAS ST STE 222",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082652",
            "telephone_number": "206-816-0960",
            "fax_number": "855-272-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORREST",
        "first_name": "BRYAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60075925",
            "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 Aug 7, 2026; 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.