Individual provider Active NPI

Judy Allyn Milgram

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1467800672
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101743 Issued in AK
Practice address
18640 Snowy Plover Cir
Anchorage, AK 99516-6120
Phone
(808) 339-1883
Fax
(907) 677-1880
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 101743 AK Primary

Addresses

Primary practice location

18640 Snowy Plover Cir
Anchorage, AK 99516-6120

Mailing address

PO Box 111103
Anchorage, AK 99511-1103
Phone (808) 339-1883

Other identifiers 1

IdentifierTypeStateIssuer
101743OtherAKMASSAGE THERAPIST

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
101743AKMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1467800672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995111103",
            "telephone_number": "808-339-1883",
            "fax_number": "907-677-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18640 SNOWY PLOVER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995166120",
            "telephone_number": "808-339-1883",
            "fax_number": "907-677-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILGRAM",
        "first_name": "JUDY",
        "middle_name": "ALLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "101743",
            "state": "AK"
        }
    ],
    "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 May 27, 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.