Individual provider Active NPI

Brooks Ann Boreson, LMP

  • Massage Therapist
  • Wenatchee, WA
National Provider Identifier
1235462607
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60106051 Issued in WA
Practice address
18 N Worthen St Ste 200
Wenatchee, WA 98801-6137
Phone
(509) 665-3156
Fax
(509) 665-0414
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60106051 WA Primary

Addresses

Primary practice location

18 N Worthen St Ste 200
Wenatchee, WA 98801-6137

Mailing address

18 N Worthen St Ste 200
Wenatchee, WA 98801-6137
Phone (509) 665-3156

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

LicenseStateTypeSpecialty
MA60106051WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Biomechanical Sports Therapy, Inc PastSince Apr 24, 2000 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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1235462607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N WORTHEN ST STE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016137",
            "telephone_number": "509-665-3156",
            "fax_number": "509-665-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N WORTHEN ST STE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016137",
            "telephone_number": "509-665-3156",
            "fax_number": "509-665-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORESON",
        "first_name": "BROOKS",
        "middle_name": "ANN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60106051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.