Individual provider Active NPI

Donald Lee Burns-Radtke, LMT

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1851863567
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60888840 Issued in WA
Practice address
7121 16TH Ave SW
Seattle, WA 98106-1802
Phone
(206) 446-2682
NPI assigned
Dec 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 60888840 WA Primary

Addresses

Primary practice location

7121 16TH Ave SW
Seattle, WA 98106-1802

Mailing address

7121 16TH Ave SW
Seattle, WA 98106-1802
Phone (120) 644-6268

Other identifiers 1

IdentifierTypeStateIssuer
60888840MedicaidWA

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
60888840WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1851863567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061802",
            "telephone_number": "120-644-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061802",
            "telephone_number": "206-446-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS-RADTKE",
        "first_name": "DONALD",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60888840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60888840",
            "state": "WA"
        }
    ],
    "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 Dec 19, 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.