Individual provider Active NPI

Brittany Willens, LMT

  • Massage Therapist
  • Peoria, AZ
National Provider Identifier
1104376953
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-20103 Issued in AZ
Practice address
8685 W Union Hills Dr
Peoria, AZ 85382-7006
Phone
(623) 486-2331
Fax
(623) 486-3136
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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 MT-20103 AZ Primary

Addresses

Primary practice location

8685 W Union Hills Dr
Peoria, AZ 85382-7006

Mailing address

8685 W Union Hills Dr
Peoria, AZ 85382-7006
Phone (623) 486-2331

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
MT-20103AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SLK Inc PastSince Jun 8, 2015 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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1104376953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827006",
            "telephone_number": "623-486-2331",
            "fax_number": "623-486-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827006",
            "telephone_number": "623-486-2331",
            "fax_number": "623-486-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLENS",
        "first_name": "BRITTANY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-20103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.