Active NPI
Brandy J Sorensen, LMP
- Massage Therapist
- Lynnwood, WA
National Provider Identifier
1609957224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00015248
- Practice address
- 6501 196TH St SW Ste C
Lynnwood, WA 98036-5980 - Phone
- (425) 775-2288
- Fax
- (425) 778-5476
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MA00015248 | WA | Primary |
Addresses
Primary practice location
6501 196TH St SW Ste C
Lynnwood, WA 98036-5980
Mailing address
17408 43Rd Dr NW
Stanwood, WA 98292-7993
Phone (360) 654-0507
Other names 1
- Miss Brandy J Baerbalck
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00015248 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Greenall | Massage Therapist | Past | Accepting new patients |
| Lifeplus Health Centers, PS | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Lynnwood, WA
- NPI 1063592616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609957224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17408 43RD DR NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982927993",
"telephone_number": "360-654-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 196TH ST SW STE C",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365980",
"telephone_number": "425-775-2288",
"fax_number": "425-778-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "BRANDY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00015248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "BAERBALCK",
"middle_name": "J",
"prefix": "MISS",
"credential": "LMP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.