Individual provider Active NPI

Paul Alan Brown Jr.

  • Massage Therapist
  • Federal Way, WA
National Provider Identifier
1780119362
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60712833 Issued in WA
Practice address
202 S 348TH St Ste 4
Federal Way, WA 98003-7070
Phone
(253) 874-2498
Fax
(253) 248-1909
NPI assigned
Apr 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 MA60712833 WA Primary

Addresses

Primary practice location

202 S 348TH St Ste 4
Federal Way, WA 98003-7070

Mailing address

17316 SE 185TH St
Renton, WA 98058-9572
Phone (425) 306-9282

Other practice location 1

24030 132nd Ave SE Unit A
Kent, WA 98042-5109
Phone (253) 630-6614

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
MA60712833WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good for You Massage & Day Spa, LLC 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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1780119362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 SE 185TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589572",
            "telephone_number": "425-306-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 348TH ST STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037070",
            "telephone_number": "253-874-2498",
            "fax_number": "253-248-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24030 132nd Ave SE Unit A",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980425109",
            "country_code": "US",
            "telephone_number": "253-630-6614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60712833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.