Active NPI
Kelly M Bruckner
- Massage Therapist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 245946
- Practice address
- 188 W Northern Lights Blvd Ste 100
Anchorage, AK 99503-3904 - Phone
- (907) 562-2002
- Fax
- (907) 278-8052
- NPI assigned
- Jun 12, 2026
- Last updated
- Jun 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 245946 | AK | Primary |
Addresses
Primary practice location
188 W Northern Lights Blvd Ste 100
Anchorage, AK 99503-3904
Mailing address
PO Box 3991
Seattle, WA 98124-3991
Other practice location 1
1701 Salmon Creek Ln
Juneau, AK 99801-7868
Phone (907) 586-5762
Other practice location 2
2250 S Woodworth Loop Ste 100
Palmer, AK 99645-7457
Phone (907) 707-1333
Other practice location 3
240 Hospital Pl
Soldotna, AK 99669-7559
Phone (907) 262-7762
Other practice location 4
3851 Piper St Ste Ll002
Anchorage, AK 99508-4684
Phone (907) 212-3186
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RBS Evolution of Alaska LLC | Massage Therapist | Past | Accepting new patients |
| RBS Evolution of Alaska LLC | Massage Therapist | Past | Accepting new patients |
| Alaska Urological Institute PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Alaska Medical Specialties
- Urology Physician
- Anchorage, AK
- NPI 1689716185
-
- Radiation Oncology Physician
- Anchorage, AK
- NPI 1114611456
Massage Therapist
-
dba Peninsula Radiation Oncology Center
- Radiation Oncology Physician
- Anchorage, AK
- NPI 1316280209
Massage Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1437084472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3991",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 W NORTHERN LIGHTS BLVD STE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033904",
"telephone_number": "907-562-2002",
"fax_number": "907-278-8052"
}
],
"practiceLocations": [
{
"address_1": "1701 Salmon Creek Ln",
"address_purpose": "LOCATION",
"city": "Juneau",
"state": "AK",
"postal_code": "998017868",
"country_code": "US",
"telephone_number": "907-586-5762",
"fax_number": "907-586-5777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 S Woodworth Loop Ste 100",
"address_purpose": "LOCATION",
"city": "Palmer",
"state": "AK",
"postal_code": "996457457",
"country_code": "US",
"telephone_number": "907-707-1333",
"fax_number": "844-248-7515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Hospital Pl",
"address_purpose": "LOCATION",
"city": "Soldotna",
"state": "AK",
"postal_code": "996697559",
"country_code": "US",
"telephone_number": "907-262-7762",
"fax_number": "907-921-7581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3851 Piper St Ste Ll002",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084684",
"country_code": "US",
"telephone_number": "907-212-3186",
"fax_number": "907-212-3665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUCKNER",
"first_name": "KELLY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "245946",
"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 Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.