Brandon Curits Mullins

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19144 Issued in NC

Practice address

4732 Lebanon Rd Ste D
Mint Hill, NC 28227-9112

Phone

(704) 763-2059

NPI assigned

Nov 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fire & Ice Therapeutic Massage,LLC

  • Massage Therapist
  • Mint Hill, NC
  • NPI 1154815439
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1255933990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 LEBANON RD STE D",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279112",
            "telephone_number": "704-763-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 LEBANON RD STE D",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279112",
            "telephone_number": "704-763-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "BRANDON",
        "middle_name": "CURITS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "19144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF MASSAGE & BODYWORK THERAPISTS",
            "identifier": "19144",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Blake Mitchell, PTA
• Jennifer Monroe, LMBT
• John Moore
• Kenneth Andrew Morcos, MD
• Zondra Moss, LMFT
• Carolyn Taylor Munn, LMBT
• Myeyedr Optometry of North Carolina, PLLC (MyEyeDr)
• Nalle Pharmacy Inc (Mint Hill Pharmacy)
• Emily Nance
• NC Therapy Group PLLC

• Massage Therapist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.