Individual provider Active NPI

Brandi Nicole Henry, LMT

  • Massage Therapist
  • Huntington, WV
National Provider Identifier
1083728281
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2006-1980 Issued in WV
Practice address
611 7TH Ave
Suite 99
Huntington, WV 25701-2131
Phone
(304) 781-2253
Fax
(304) 781-2254
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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 2006-1980 WV Primary

Addresses

Primary practice location

611 7TH Ave
Suite 99
Huntington, WV 25701-2131

Mailing address

611 7TH Ave
Suite 99
Huntington, WV 25701-2131
Phone (304) 781-2253

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
2006-1980WVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Professionals, LLC Massage Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1083728281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 7TH AVE",
            "address_2": "SUITE 99",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012131",
            "telephone_number": "304-781-2253",
            "fax_number": "304-781-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 7TH AVE",
            "address_2": "SUITE 99",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012131",
            "telephone_number": "304-781-2253",
            "fax_number": "304-781-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2006-1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.