Individual provider Active NPI

James Lee Simon, LMT

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1902692197
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61583726 Issued in WA
Practice address
13353 NE Bel Red Rd Ste 103
Bellevue, WA 98005-2329
Phone
(425) 679-5996
NPI assigned
Apr 16, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 61583726 WA Primary

Addresses

Primary practice location

13353 NE Bel Red Rd Ste 103
Bellevue, WA 98005-2329

Mailing address

950 Harrington Ave NE Apt S409
Renton, WA 98056-3479
Phone (206) 474-6696

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
61583726WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic PT Health & Performance LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

13353 NE Bel Red Rd
Ste 103
Bellevue, WA 98005
Phone (425) 679-5996

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.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1902692197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HARRINGTON AVE NE APT S409",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563479",
            "telephone_number": "206-474-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13353 NE BEL RED RD STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052329",
            "telephone_number": "425-679-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JAMES",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61583726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.