Brooke Foltz, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-27870 Issued in AZ

Practice address

80 Acoma Blvd S Ste 104&106
Lake Havasu City, AZ 86403-6925

Phone

(928) 453-1055

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookeside LLC

  • Massage Therapist
  • Lake Havasu City, AZ
  • NPI 1528834207

  Single Specialty

  NPD Authorized official
• Embody Wellness Chiropractic Center PLLC

  dba Embody Wellness Chiropractic Center

  • Chiropractor
  • Lake Havasu City, AZ
  • NPI 1710619598

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1326770363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LONDON BRIDGE RD",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864049738",
            "telephone_number": "971-273-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ACOMA BLVD S STE 104&106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036925",
            "telephone_number": "928-453-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-27870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.brookeside.massagetherapy.com",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "80 Acoma Blvd S Ste 104&106",
            "city": "Lake Havasu City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864036925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Flower's Assisted Living, Inc (Dba Flowers Caregiver Service)
• Flowers Assisted Living Inc.
• Flowers Assisted Living, Inc. (Flower's Caregiver Service)
• Focus Optical, LLC
• Patricia Gwen Folden, FNP
• Foundation Home Health LLC
• FPS Medical Center LTD
• Lindsay Michelle Franks, FNP
• Sarah Fraser, CNIM,REEGT,EPT
• Frederic Luo, MD, Msee, Inc

• Massage Therapist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.