NPIMap

Individual provider Active NPI

Ronald E Brister, LMT

  • Massage Therapist
  • Metairie, LA
National Provider Identifier
1669970794
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2931 Issued in LA
Practice address
826 Focis St
Metairie, LA 70005-2200
Phone
(504) 456-8560
Fax
(504) 456-8562
NPI assigned
Jan 23, 2018
Sex
Male
Sole proprietor
No

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.

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
2931LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Wellness Inc PastSince Jun 28, 2005 Accepting new patients
Premier Chiropractic and Rehab Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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 2931 LA Primary

Addresses

Primary practice location

826 Focis St
Metairie, LA 70005-2200

Mailing address

826 Focis St
Metairie, LA 70005-2200
Phone (504) 456-8560

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1669970794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 FOCIS ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052200",
            "telephone_number": "504-456-8560",
            "fax_number": "504-456-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 FOCIS ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052200",
            "telephone_number": "504-456-8560",
            "fax_number": "504-456-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTER",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.