Active NPI
Carmen Cook, LMT
- Massage Therapist
- North Bend, OR
National Provider Identifier
1518277524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16625
- Practice address
- 1865 McPherson St
North Bend, OR 97459-3409 - Phone
- (541) 401-7205
- NPI assigned
- Oct 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16625 | OR | Primary |
Addresses
Primary practice location
1865 McPherson St
North Bend, OR 97459-3409
Mailing address
1735 Juniper Ave
Coos Bay, OR 97420-2020
Phone (541) 401-7205
Other names 1
- Carmen Brantner
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16625 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1518277524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 JUNIPER AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202020",
"telephone_number": "541-401-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 MCPHERSON ST",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593409",
"telephone_number": "541-401-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CARMEN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-12",
"last_updated": "2021-06-17",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "16625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "BRANTNER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Bend, OR
- Karen Collell, PHARMD
- Christina Lee Colo, O.T.R./L
- Columbiacare Services
- Columbiacare Services Inc (Pony Creek Board and Care)
- Tana Lee Contois
- Kortney Kayla Rose Coolidge
- Brittany Cooper
- Stephanie Cooper
- Coos Bay Chiropractic & Wellness Center Inc (Coos Bay Chiropractic and Wellness Center)
- Coos County Correctional Treatment Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.