Active NPI
Eric Neil Brush, LMT
- Massage Therapist
- Iowa City, IA
National Provider Identifier
1063635019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 02744
- Practice address
- 1120 N Governor St
Iowa City, IA 52245-5924 - Phone
- (319) 341-8110
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 02744 | IA | Primary |
Addresses
Primary practice location
1120 N Governor St
Iowa City, IA 52245-5924
Mailing address
1120 N Governor St
Iowa City, IA 52245-5924
Phone (319) 341-8110
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 |
|---|---|---|---|
| 02744 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063635019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N GOVERNOR ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522455924",
"telephone_number": "319-341-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N GOVERNOR ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522455924",
"telephone_number": "319-341-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSH",
"first_name": "ERIC",
"middle_name": "NEIL",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IA",
"license": "02744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.