Active NPI
Jonathan Greenfield, LMT
- Massage Therapist
- Redmond, WA
National Provider Identifier
1730774571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61116925
- Practice address
- 15436 Bel Red Rd
Redmond, WA 98052-5536 - Phone
- (425) 274-3430
- NPI assigned
- Mar 3, 2021
- Sex
- Male
- 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 | MA61116925 | WA | Primary |
Addresses
Primary practice location
15436 Bel Red Rd
Redmond, WA 98052-5536
Mailing address
16720 6TH Ave W Apt C101
Lynnwood, WA 98037-8831
Phone (843) 670-4743
Other practice location 1
10024 Main St # 2
Bothell, WA 98011-3464
Phone (425) 485-1413
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 |
|---|---|---|---|
| MA61116925 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660348800000",
"number": "1730774571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16720 6TH AVE W APT C101",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980378831",
"telephone_number": "843-670-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15436 BEL RED RD",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525536",
"telephone_number": "425-274-3430"
}
],
"practiceLocations": [
{
"address_1": "10024 Main St # 2",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980113464",
"country_code": "US",
"telephone_number": "425-485-1413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENFIELD",
"first_name": "JONATHAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2022-08-13",
"certification_date": "2022-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61116925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.