Individual provider Active NPI

Brett Eric Schweisberger, LMT

  • Massage Therapist
  • Gladstone, MO
National Provider Identifier
1639563117
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2011025910 Issued in MO
Practice address
5740 N Broadway St
Gladstone, MO 64118-3998
Phone
(816) 896-2639
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2011025910 MO Primary

Addresses

Primary practice location

5740 N Broadway St
Gladstone, MO 64118-3998

Mailing address

7205 N Park Ave
Gladstone, MO 64118-2353
Phone (816) 896-2639

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

LicenseStateTypeSpecialty
2011025910MOMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639563117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 N PARK AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182353",
            "telephone_number": "816-896-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 N BROADWAY ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183998",
            "telephone_number": "816-896-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEISBERGER",
        "first_name": "BRETT",
        "middle_name": "ERIC",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2011025910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.