Active NPI
Amy Brite, LMBT
- Massage Therapist
- Wilmington, NC
National Provider Identifier
1083169635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 04026
- Practice address
- 212 Pine Grove Dr
Wilmington, NC 28403-5136 - Phone
- (910) 769-1507
- NPI assigned
- Aug 23, 2016
- Last updated
- Aug 23, 2016
- 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 | 04026 | NC | Primary |
Addresses
Primary practice location
212 Pine Grove Dr
Wilmington, NC 28403-5136
Mailing address
212 Pine Grove Dr
Wilmington, NC 28403-5136
Phone (910) 769-1507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04026 | Other | NC | NC BOARD OF MASSAGE THERAPY |
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 |
|---|---|---|---|
| 04026 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1083169635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 PINE GROVE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035136",
"telephone_number": "910-769-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 PINE GROVE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035136",
"telephone_number": "910-769-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITE",
"first_name": "AMY",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-23",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "04026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF MASSAGE THERAPY",
"identifier": "04026",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.