Individual provider Active NPI

Preston Eli Maes, LMT

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1336005636
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
241126 Issued in AK
Practice address
236 W 34TH Ave Ste 218
Anchorage, AK 99503-3977
Phone
(907) 268-1327
NPI assigned
Dec 30, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 241126 AK Primary

Addresses

Primary practice location

236 W 34TH Ave Ste 218
Anchorage, AK 99503-3977

Mailing address

4920 Woodridge Cir
Anchorage, AK 99516-5311
Phone (907) 268-1327

Other practice location 1

4920 Woodridge Cir
Anchorage, AK 99516-5311
Phone (907) 268-1327 ext. 06383

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
241126AKMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1336005636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 WOODRIDGE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995165311",
            "telephone_number": "907-268-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 34TH AVE STE 218",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033977",
            "telephone_number": "907-268-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4920 Woodridge Cir",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995165311",
            "country_code": "US",
            "telephone_number": "907-268-1327 x06383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAES",
        "first_name": "PRESTON",
        "middle_name": "ELI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "241126",
            "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 Dec 30, 2025; 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.