Brendan Vanvalkenburgh, CMTPT, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

101383 Issued in AK

Practice address

901 Photo Ave
Anchorage, AK 99503-3718

Phone

(907) 770-6700

Fax

(907) 770-6707

NPI assigned

Feb 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1366801318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W 22ND AVE",
            "address_2": "#302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031966",
            "telephone_number": "907-632-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PHOTO AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033718",
            "telephone_number": "907-770-6700",
            "fax_number": "907-770-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVALKENBURGH",
        "first_name": "BRENDAN",
        "credential": "CMTPT, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.