Active NPI
True Blue LLC
Doing business as TruBlue
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1508211624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1031388
- Legal business name
- TRUE BLUE LLC
- Doing business as
- TruBlue
- Practice address
- 751 E 36TH Ave Ste 115
Anchorage, AK 99503-4166 - Phone
- (907) 306-0333
- NPI assigned
- Apr 26, 2016
- Last updated
- Apr 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Y Lewis Blueford Jr., LMT
- Title
- Manager
- Phone
- (907) 306-0333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1031388 | AK | Primary |
Addresses
Primary practice location
751 E 36TH Ave Ste 115
Anchorage, AK 99503-4166
Mailing address
751 E 36TH Ave Ste 115
Anchorage, AK 99503-4166
Phone (907) 306-0333
Other names 1
- TruBlue
National Provider Directory
National Provider DirectoryLocations
751 E 36th Ave
Ste 115
Anchorage, AK 99503
Phone (907) 306-0333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Anchorage, AK
- NPI 1609312313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461888000000",
"number": "1508211624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 E 36TH AVE STE 115",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034166",
"telephone_number": "907-306-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 E 36TH AVE STE 115",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034166",
"telephone_number": "907-306-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE BLUE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-29",
"status": "A",
"authorized_official_last_name": "BLUEFORD",
"authorized_official_first_name": "JERRY Y",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "907-306-0333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "1031388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TruBlue",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 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.