Brook Rene Sorgen Greenberg, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023006 Issued in WA

Practice address

2918 NE 55TH St
Seattle, WA 98105-5532

Phone

(206) 354-0641

NPI assigned

Mar 22, 2017

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

Other names 1

• Brook Rene Sorgen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1346771300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16123 N MEADOWDALE RD",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980264547",
            "telephone_number": "206-354-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 NE 55TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055532",
            "telephone_number": "206-354-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORGEN GREENBERG",
        "first_name": "BROOK",
        "middle_name": "RENE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOK",
            "last_name": "SORGEN",
            "middle_name": "RENE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanya Kristi Sorensen, MD
• Scott Dilling Sorenson, MD
• Shannon M Sorenson, PH.D.
• Stewart Woodgate Sorey, MD
• Matthew Sorg
• Aries Manalo Soriano
• Brian D Soriano, M.D.
• Charla M. Soriano, MSW
• Eric Lawrence Soriano, MD
• Melinda Manding Soriano, PHARMD

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.