Bernette Harrison, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00552900 Issued in NJ

Practice address

536 Washington Ave
Woodbine, NJ 08270-2025

Phone

(609) 334-2511

NPI assigned

Aug 7, 2013

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 names 1

• Bernette Harrison Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053743500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 U.S., 9 SOUTH",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "08223",
            "telephone_number": "609-334-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 WASHINGTON AVE",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082702025",
            "telephone_number": "609-334-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BERNETTE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00552900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1massagebybee@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Bridge Counseling Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "bridgecounselingservices@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "94 Route 50",
            "city": "Ocean View",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082301223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BERNETTE",
            "last_name": "HARRISON",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Massage Therapist in Woodbine, NJ
• Providers in Woodbine, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.