Active NPI
Brylecia McGowan
- Massage Therapist
- Panama City, FL
National Provider Identifier
1154175958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 429 S Tyndall Pkwy
Panama City, FL 32404-6765 - Phone
- (850) 867-1717
- NPI assigned
- Apr 16, 2024
- Last updated
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | FL | Primary |
Addresses
Primary practice location
429 S Tyndall Pkwy
Panama City, FL 32404-6765
Mailing address
PO Box 37012
Panama City, FL 32412-7012
Phone (850) 867-1717
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1154175958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37012",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324127012",
"telephone_number": "850-867-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 S TYNDALL PKWY",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324046765",
"telephone_number": "850-867-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "BRYLECIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.