Brenna Rae Bittner, MA60663284

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60663284 Issued in WA

Practice address

37 103Rd Ave NE
Bellevue, WA 98004-5689

Phone

(425) 451-1171

Fax

(425) 451-1232

NPI assigned

Jun 29, 2016

Last updated

Jun 29, 2016By the provider in NPPES

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

State licenses

Practice roles

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.

• Massage Center of Bellevue

  • Massage Therapist
  • Bellevue, WA
  • NPI 1831228287
  NPD (past)

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1467803577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 126TH PL NE APT A202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053232",
            "telephone_number": "206-396-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 103RD AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045689",
            "telephone_number": "425-451-1171",
            "fax_number": "425-451-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "BRENNA",
        "middle_name": "RAE",
        "credential": "MA60663284",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60663284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Birnbach, M.D.
• Steven M Birnbaum
• Birth N More
• Janice L Levesque Bishop, M.D.
• Nishall Irene Bisi Gutierrez, HIS
• Robert Lee Bjurstrom, M.D.
• Stefan Richard Black, DC
• Blackrock Services Inc (Back 2 Health Bellevue)
• Ethan Jon Blackstone, MFTA
• Tara Chelan Blahm

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.