Active NPI
Alexander Behnke, LMT
- Massage Therapist
- Sekiu, WA
National Provider Identifier
1902297534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60975423
- Practice address
- 160 Vista Dr
Sekiu, WA 98381-9724 - Phone
- (303) 921-8508
- NPI assigned
- Feb 18, 2015
- Last updated
- Oct 25, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60975423 | WA | Primary |
| Massage Therapist | 225700000X | MT.0016952 | CO | |
| Massage Therapist | 225700000X | 70254 | CA |
Addresses
Primary practice location
160 Vista Dr
Sekiu, WA 98381-9724
Mailing address
160 Vista Dr
Sekiu, WA 98381-9724
Phone (303) 921-8508
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 |
|---|---|---|---|
| 70254 | CA | MD | Pharmacist |
| MT.0016952 | CO | MD | Massage Therapist |
| 60975423 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Keith Graves DC, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Denver, CO
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1902297534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 VISTA DR",
"city": "SEKIU",
"state": "WA",
"postal_code": "983819724",
"telephone_number": "303-921-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 VISTA DR",
"city": "SEKIU",
"state": "WA",
"postal_code": "983819724",
"telephone_number": "303-921-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHNKE",
"first_name": "ALEXANDER",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-18",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60975423",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0016952",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "70254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sekiu, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.