Active NPI
Brenna Christine Donaldson, LMT
- Massage Therapist
- Fort Smith, AR
National Provider Identifier
1184202087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8869
- Practice address
- 2300 S 57TH St Ste 2
Fort Smith, AR 72903-3864 - Phone
- (479) 783-0369
- NPI assigned
- Mar 31, 2021
- 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 | 8869 | AR | Primary |
Addresses
Primary practice location
2300 S 57TH St Ste 2
Fort Smith, AR 72903-3864
Mailing address
9801 Meandering Way Apt 31
Fort Smith, AR 72903-1312
Phone (479) 276-7424
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 |
|---|---|---|---|
| 8869 | AR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Trauma Recovery Inc | Single Specialty | Past | 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": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1184202087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 MEANDERING WAY APT 31",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729031312",
"telephone_number": "479-276-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 57TH ST STE 2",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033864",
"telephone_number": "479-783-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "BRENNA",
"middle_name": "CHRISTINE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AR",
"license": "8869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.