Organization Active NPI

Brenna Burkhart LMT, LLC

  • Massage Therapist
  • Glendale, CO
National Provider Identifier
1457753774
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0010381 Issued in CO
Legal business name
BRENNA BURKHART LMT, LLC
Doing business as
BodyWorks Therapeutic
Practice address
4340 E Kentucky Ave Ste 446
Glendale, CO 80246-2078
Phone
(303) 759-1400
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Brenna Burkhart, LMT
Title
Owner/Massage Therapist
Phone
(303) 759-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT.0010381 CO Primary

Addresses

Primary practice location

4340 E Kentucky Ave Ste 446
Glendale, CO 80246-2078

Mailing address

4340 E Kentucky Ave Ste 446
Glendale, CO 80246-2078
Phone (303) 759-1400

Other names 1

  • BodyWorks Therapeutic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1457753774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE STE 446",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462078",
            "telephone_number": "303-759-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE STE 446",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462078",
            "telephone_number": "303-759-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNA BURKHART LMT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "303-759-1400",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0010381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyWorks Therapeutic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.