Active NPI
Brittainy Bolding, LMT, NCTMB
- Massage Therapist
- Sedro Woolley, WA
National Provider Identifier
1205002979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60163639
- Practice address
- 978 Able LN
Sedro Woolley, WA 98284-8832 - Phone
- (907) 306-3936
- NPI assigned
- May 2, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA51892 | FL | |
| Massage Therapist | 225700000X | MT105958 | TX | |
| Massage Therapist | 225700000X | 917540 | AK | |
| Massage Therapist | 225700000X | MA 60163639 | WA | Primary |
Addresses
Primary practice location
978 Able LN
Sedro Woolley, WA 98284-8832
Mailing address
1106 Harris Avenue
Suite 210
Bellingham, WA 98225
Phone (907) 306-3936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 543774-07 | Other | THE NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK (NCBTMB) |
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 |
|---|---|---|---|
| 917540 | AK | MD | Massage Therapist |
| MA51892 | FL | MD | Massage Therapist |
| MT105958 | TX | MD | Massage Therapist |
| MA 60163639 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1205002979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 HARRIS AVENUE",
"address_2": "SUITE 210",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "907-306-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 ABLE LN",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982848832",
"telephone_number": "907-306-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDING",
"first_name": "BRITTAINY",
"credential": "LMT, NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-02",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA51892",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT105958",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "917540",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60163639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK (NCBTMB)",
"identifier": "543774-07",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.