Active NPI
Brooke McNeely, LMT
- Massage Therapist
- Gretna, LA
National Provider Identifier
1316656200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LA9520
- Practice address
- 3320 Wall Blvd Apt 5-301
Gretna, LA 70056-7776 - Phone
- (504) 335-9593
- NPI assigned
- Nov 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA9520 | LA | Primary |
Addresses
Primary practice location
3320 Wall Blvd Apt 5-301
Gretna, LA 70056-7776
Mailing address
3320 Wall Blvd Apt 5-301
Gretna, LA 70056-7776
Phone (504) 335-9593
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Clinicsense |
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 |
|---|---|---|---|
| LA9520 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1316656200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 WALL BLVD APT 5-301",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567776",
"telephone_number": "504-335-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 WALL BLVD APT 5-301",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567776",
"telephone_number": "504-335-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEELY",
"first_name": "BROOKE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA9520",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Clinicsense",
"affiliation": "N",
"endpointDescription": "intake, Soap, and appointment program",
"address_1": "3320 Wall Blvd Apt 5-301",
"city": "Gretna",
"state": "LA",
"country_code": "US",
"postal_code": "700567776",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.