Individual provider Active NPI

Anna Breslav, LMT, AHP, AWC

  • Massage Therapist
  • Plano, TX
National Provider Identifier
1104549815
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT136198 Issued in TX
Practice address
1721 W Plano Pkwy Ste 105
Plano, TX 75075-8633
Phone
(214) 444-8855
Fax
(866) 886-1064
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 MT136198 TX Primary

Addresses

Primary practice location

1721 W Plano Pkwy Ste 105
Plano, TX 75075-8633

Mailing address

9712 Shirland LN
Frisco, TX 75035-6000
Phone (972) 979-4529

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
MT136198TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1104549815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 SHIRLAND LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356000",
            "telephone_number": "972-979-4529",
            "fax_number": "866-886-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W PLANO PKWY STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758633",
            "telephone_number": "214-444-8855",
            "fax_number": "866-886-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLAV",
        "first_name": "ANNA",
        "credential": "LMT, AHP, AWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT136198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.