Active NPI
Bria A Burningham, LMT
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1104005495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1296
- Practice address
- 626 Cordova Street
Ste. 101 Bodymindsoul, Inc.,
Anchorage, AK 99501 - Phone
- (907) 375-0930
- Fax
- (907) 375-0960
- NPI assigned
- Nov 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1296 | AK | Primary |
Addresses
Primary practice location
626 Cordova Street
Ste. 101 Bodymindsoul, Inc.,
Anchorage, AK 99501
Mailing address
626 Cordova Street
Suite 105 Advanced Body Solutions, Inc.
Anchorage, AK 99501
Phone (907) 277-5525
Other names 1
- Bria A Butler
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 |
|---|---|---|---|
| 1296 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodymindsoul, Inc. | Past | Accepting new patients | |
| Advanced Body Solutions, Inc. | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Anchorage, AK
- NPI 1447577200
-
- Chiropractor
- Anchorage, AK
- NPI 1124343678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1104005495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 CORDOVA STREET",
"address_2": "SUITE 105 ADVANCED BODY SOLUTIONS, INC.",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99501",
"telephone_number": "907-277-5525",
"fax_number": "907-277-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 CORDOVA STREET",
"address_2": "STE. 101 BODYMINDSOUL, INC.,",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99501",
"telephone_number": "907-375-0930",
"fax_number": "907-375-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNINGHAM",
"first_name": "BRIA",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-02",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "1296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIA",
"last_name": "BUTLER",
"middle_name": "A",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.