Individual provider Active NPI

Amanda Claire Brooks, LMT

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1275918336
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101387 Issued in AK
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

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
101387AKMDMassage Therapist
934890AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.