Active NPI
Brianna Nicole Montgomery, LMT
- Massage Therapist
- Montgomery, OH
National Provider Identifier
1164080479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.023423
- Practice address
- 6200 Pfeiffer Rd
Montgomery, OH 45242-5862 - Phone
- (513) 985-0900
- NPI assigned
- Jun 1, 2019
- 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 | 33.023423 | OH | Primary |
Addresses
Primary practice location
6200 Pfeiffer Rd
Montgomery, OH 45242-5862
Mailing address
4201 Victory Pkwy Apt 712
Cincinnati, OH 45229-1672
Phone (513) 377-6728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102154285-00 | Other | OH | CARE SOURCE |
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 |
|---|---|---|---|
| 33.023423 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559347200000",
"number": "1164080479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 VICTORY PKWY APT 712",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452291672",
"telephone_number": "513-377-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 PFEIFFER RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452425862",
"telephone_number": "513-985-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "BRIANNA",
"middle_name": "NICOLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-01",
"last_updated": "2019-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.023423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "102154285-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.