Individual provider Active NPI

Alexandra Rees-Benyo, LMT

  • Massage Therapist
  • Wasilla, AK
National Provider Identifier
1457708331
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101534 Issued in AK
Practice address
546 N Main St
Wasilla, AK 99654-7019
Phone
(907) 376-2600
Fax
(907) 376-2605
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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 101534 AK Primary

Addresses

Primary practice location

546 N Main St
Wasilla, AK 99654-7019

Mailing address

546 N Main St
Wasilla, AK 99654-7019
Phone (907) 376-2600

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
101534AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley Health Clinics PC PastSince Mar 4, 1997 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1457708331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547019",
            "telephone_number": "907-376-2600",
            "fax_number": "907-376-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547019",
            "telephone_number": "907-376-2600",
            "fax_number": "907-376-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES-BENYO",
        "first_name": "ALEXANDRA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.