Individual provider Active NPI

Tonette Marie Mabrey, LMT LA 9071

  • Massage Therapist
  • Pearl River, LA
National Provider Identifier
1235895939
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LA9071 Issued in LA
Practice address
64533 Birch Court
Pearl River, LA 70452
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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 LA9071 LA Primary

Addresses

Primary practice location

64533 Birch Court
Pearl River, LA 70452

Mailing address

64533 Birch CT
Pearl River, LA 70452-5017
Phone (941) 356-7619

Other names 1

  • Ms. Tonette Marie Mabrey Professional name

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
LA9071LAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1235895939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64533 BIRCH CT",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704525017",
            "telephone_number": "941-356-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64533 BIRCH COURT",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABREY",
        "first_name": "TONETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT LA 9071",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA9071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONETTE",
            "last_name": "MABREY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMT LA 9071",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pearl River, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.