Active NPI
Kerry Lynn Brewer, LMT
- Massage Therapist
- Bend, OR
National Provider Identifier
1295247450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24353
- Practice address
- 1010 NW Harriman St
Bend, OR 97703 - Phone
- (541) 868-7109
- NPI assigned
- Oct 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24353 | OR | Primary |
Addresses
Primary practice location
1010 NW Harriman St
Bend, OR 97703
Mailing address
2020 NE Linnea Dr Apt 162
Bend, OR 97701-4988
Phone (541) 868-7109
Other practice location 1
7610 S Alkire Pl Ste B
Littleton, CO 80127-3223
Phone (303) 862-1504
Other practice location 2
7610 S Alkire Pl Ste B
Littleton, CO 80127-3223
Phone (303) 862-1504
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 |
|---|---|---|---|
| 24353 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Chiropractic & Wellness | Past | Accepting new patients | |
| Foothills Integrated Health Systems, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Littleton, CO
- NPI 1760665079
-
- Family Medicine Physician
- Littleton, CO
- NPI 1205283629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1295247450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 NE LINNEA DR APT 162",
"city": "BEND",
"state": "OR",
"postal_code": "977014988",
"telephone_number": "541-868-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 NW HARRIMAN ST",
"city": "BEND",
"state": "OR",
"postal_code": "97703",
"telephone_number": "541-868-7109"
}
],
"practiceLocations": [
{
"address_1": "7610 S Alkire Pl Ste B",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801273223",
"country_code": "US",
"telephone_number": "303-862-1504",
"fax_number": "303-933-9431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7610 S Alkire Pl Ste B",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801273223",
"country_code": "US",
"telephone_number": "303-862-1504",
"fax_number": "303-933-9431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREWER",
"first_name": "KERRY",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-27",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.