Peggy Brisbane, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Practice address

75-5870 Walua Rd
Suite 101
Kailua Kona, HI 96740-1392

Phone

(808) 329-9553

NPI assigned

Oct 25, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1457803405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-361 MELE PL",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409726",
            "telephone_number": "907-942-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5870 WALUA RD",
            "address_2": "SUITE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401392",
            "telephone_number": "808-329-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBANE",
        "first_name": "PEGGY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Jo Olena Branco-Hedke
• Connor Edwin Kenneth Braschi, RBT
• Joseph Braun
• Aiko Joy Bray, MT
• Cassandra Briggs
• Lisa Ann Brittain, M.S.
• Anne C Broderson, APRN, FNP-C
• Jennifer Diane Broderson, L.M.T.
• Jesse Broderson, D.C.
• Shannon Marie Broderson, D.C.

• Mechanotherapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Mechanotherapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.