Connie Red Braat, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60223110 Issued in WA

Practice address

365 118TH Ave SE
Bellevue, WA 98005-3557

Phone

(425) 202-5733

Fax

(425) 453-1522

NPI assigned

Jun 16, 2011

Last updated

Jul 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1699060715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 SE 5TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084820",
            "telephone_number": "425-652-1210",
            "fax_number": "425-453-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 118TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053557",
            "telephone_number": "425-202-5733",
            "fax_number": "425-453-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAT",
        "first_name": "CONNIE",
        "middle_name": "RED",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60223110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Boyce, L.M.P.
• Olivia Boyd
• Tara Leann Boyd, N.D.
• Jason J Boyer, MD
• Lisa Megumi Boyle, L.AC., DIPL. O.M.
• Henry Lee Bradbury III, PA-C, MPAS
• Walter Matthew Bradley, CDP
• Laura Brady
• Jossalyn Braile
• Brandon Brake, BCBA, LBA

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.