Organization Active NPI

True Blue LLC

Doing business as TruBlue

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1508211624
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1031388 Issued in AK
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.