Active NPI
Bre Nicole Jordon, LMT
- Massage Therapist
- Lake Stevens, WA
National Provider Identifier
1982912960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60140091
- Practice address
- 12901 28TH PL NE Ste 5
Lake Stevens, WA 98258-9230 - Phone
- (425) 535-2905
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60140091 | WA | Primary |
Addresses
Primary practice location
12901 28TH PL NE Ste 5
Lake Stevens, WA 98258-9230
Mailing address
6628 77TH PL NE
Marysville, WA 98270-3351
Phone (425) 535-2905
Other names 1
- Breanne Montes
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 |
|---|---|---|---|
| 60140091 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernst Chiropractic Clinic PS | Past | Accepting new patients | |
| Pinnacle Chiropractic LLC | Past | Accepting new patients | |
| Wellness Workforce LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Massage Therapist
- Lake Stevens, WA
- NPI 1437078383
-
- Chiropractor
- Arlington, WA
- NPI 1225219447
-
- Chiropractor
- Arlington, WA
- NPI 1396555280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1982912960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6628 77TH PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703351",
"telephone_number": "425-535-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12901 28TH PL NE STE 5",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982589230",
"telephone_number": "425-535-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDON",
"first_name": "BRE",
"middle_name": "NICOLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60140091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNE",
"last_name": "MONTES",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.