Corey Ione Burgess

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24788 Issued in OR

Practice address

1845 Highway 126 Ste a
Florence, OR 97439-9626

Phone

(541) 590-7534

NPI assigned

Apr 27, 2015

Last updated

May 7, 2020By 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 2

Addresses

Other identifiers 2

Other names 1

• Miss Corey Ione Jackson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: coreyburgess@massagetherapy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunrise Healing Arts LLC

  • Massage Therapist
  • Florence, OR
  • NPI 1245851799
  NPD Authorized official

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1770960890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 171ST AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523924",
            "telephone_number": "425-891-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HIGHWAY 126 STE A",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399626",
            "telephone_number": "541-590-7534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 116th Ave NE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043038",
            "country_code": "US",
            "telephone_number": "425-635-0495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "COREY",
        "middle_name": "IONE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60560728",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "24788",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "MA60560728",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Coreyburgess@massagetherapy.com",
            "affiliation": "N",
            "address_1": "1845 Highway 126 Ste A",
            "city": "Florence",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974399626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "JACKSON",
            "middle_name": "IONE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pushapdeep Kaur Brar, M.D.
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• Clare J Brien, D.O.
• Paul Buchek, CRNA
• Corey Burch
• Sarah Catherine Butte, LMT #27114, B. SC.
• Cafe of Life Chiropractic at Florence, P.C.
• Vanessa Call
• Jennifer Cannon, N.P.
• Sharon F Catlin, D.O.

• Massage Therapist in Florence, OR
• Providers in Florence, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.