Payton Brown, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61367488 Issued in WA

Practice address

17090 Avondale Way NE
Redmond, WA 98052-4409

Phone

(425) 780-7208

Fax

(425) 888-1273

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North West Roots Wellness Center

  • Massage Therapist
  • Redmond, WA
  • NPI 1033605654
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1891409546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 MILLS PL NE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459440",
            "telephone_number": "425-780-7208",
            "fax_number": "425-888-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17090 AVONDALE WAY NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524409",
            "telephone_number": "425-780-7208",
            "fax_number": "425-888-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38579 SE River St",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "980655155",
            "country_code": "US",
            "telephone_number": "425-780-7208",
            "fax_number": "425-888-1273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAYTON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61367488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA61367488",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynn Brooks, LMP CNT
• Kaitlin Brotman, PA-C
• Daniel Earl Broughton, DDS
• Jeffrey Brown
• Kimberly Brown
• Jill Brubaker, MD
• Jayme L Bruett, DPT
• Kathryn Margaret Bruner
• Lisa Marie Buchart, DPT, COMT
• Aravind Buddula, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.