Active NPI
Amanda Claire Brooks, LMT
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1275918336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 101387
- Practice address
- 626 Cordova Street Suite 105
Advanced Body Solutions
Anchorage, AK 99501 - Phone
- (907) 277-5525
- Fax
- (907) 277-5526
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 934890 | AK | |
| Massage Therapist | 225700000X | 101387 | AK | Primary |
Addresses
Primary practice location
626 Cordova Street Suite 105
Advanced Body Solutions
Anchorage, AK 99501
Mailing address
626 Cordova Street Suite 105
Advanced Body Solutions
Anchorage, AK 99501
Phone (907) 277-5525
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 |
|---|---|---|---|
| 101387 | AK | MD | Massage Therapist |
| 934890 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Body Solutions, Inc. | Massage Therapist | Past | 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.
-
- Massage Therapist
- Anchorage, AK
- NPI 1447577200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1275918336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 CORDOVA STREET SUITE 105",
"address_2": "ADVANCED BODY SOLUTIONS",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99501",
"telephone_number": "907-277-5525",
"fax_number": "907-277-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 CORDOVA STREET SUITE 105",
"address_2": "ADVANCED BODY SOLUTIONS",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99501",
"telephone_number": "907-277-5525",
"fax_number": "907-277-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "AMANDA",
"middle_name": "CLAIRE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "934890",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "101387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.