Active NPI
Denise Marie Baker-Bradley, LMT, LSW
- Massage Therapist
- Brockton, MA
National Provider Identifier
1194169094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10698
- Practice address
- 685 Pleasant St
Rear/Suite B
Brockton, MA 02301-3072 - Phone
- (866) 577-8344
- NPI assigned
- Apr 22, 2013
- 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 | 10698 | MA | Primary |
Addresses
Primary practice location
685 Pleasant St
Rear/Suite B
Brockton, MA 02301-3072
Mailing address
288 Chatham West Dr
Brockton, MA 02301-1317
Phone (508) 348-2969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3029969 | Other | MA | LICENSED SOCIAL WORKER |
| 10698 | Other | MA | LICENSE MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 10698 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1194169094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 CHATHAM WEST DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011317",
"telephone_number": "508-348-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 PLEASANT ST",
"address_2": "REAR/SUITE B",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013072",
"telephone_number": "866-577-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER-BRADLEY",
"first_name": "DENISE",
"middle_name": "MARIE",
"credential": "LMT, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "10698",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "3029969",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE MASSAGE THERAPIST",
"identifier": "10698",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.