Active NPI
Rebecca Carpenter Bryan, LMT
- Massage Therapist
- Winter Haven, FL
National Provider Identifier
1235440975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA49470
- Practice address
- 1305 6TH St SE
Winter Haven, FL 33880-4556 - Phone
- (863) 412-7881
- NPI assigned
- Jun 28, 2010
- 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 | MA49470 | FL | Primary |
Addresses
Primary practice location
1305 6TH St SE
Winter Haven, FL 33880-4556
Mailing address
PO Box 804
Winter Haven, FL 33882-0804
Phone (863) 412-7881
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 |
|---|---|---|---|
| MA49470 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1235440975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338820804",
"telephone_number": "863-412-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 6TH ST SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804556",
"telephone_number": "863-412-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER BRYAN",
"first_name": "REBECCA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA49470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.