Angelina F Breen, LMT,CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

022890-1 Issued in NY

Practice address

1 Hoffman St
Auburn, NY 13021-2157

Phone

(315) 704-0319

NPI assigned

Mar 2, 2012

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

• Miss Angelina F Burgin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Energy Works Center of Auburn Inc.

  • Massage Therapist
  • Auburn, NY
  • NPI 1275806325
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1396019758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 WESTBURY RD",
            "city": "RED CREEK",
            "state": "NY",
            "postal_code": "131434121",
            "telephone_number": "315-871-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOFFMAN ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212157",
            "telephone_number": "315-704-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "ANGELINA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LMT,CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "022890-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELINA",
            "last_name": "BURGIN",
            "middle_name": "F",
            "prefix": "MISS",
            "credential": "LMT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael B Brady, DDS
• Dianna Marie Brann, RN
• Bethany Brantner
• Chelsea Brazee, RDN
• Sarah Breen-Moell, MSW
• Maureen G. Brennan, LCSW
• Bridget Reilly
• Charlotte Raye Brockway
• Kathleen Pearl Broderick, RN
• Cherrelle Brooks, DOULA

• Massage Therapist in Auburn, NY
• Providers in Auburn, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.