Active NPI
Anna Breslav, LMT, AHP, AWC
- Massage Therapist
- Plano, TX
National Provider Identifier
1104549815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT136198
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT136198 | TX | MD | Massage 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.