Active NPI
Brooklynn Gaines, LMT
- Massage Therapist
- Greensburg, KY
National Provider Identifier
1689482382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 289263
- Practice address
- 121 S Public SQ
Greensburg, KY 42743-1532 - Phone
- (270) 403-7600
- NPI assigned
- Dec 26, 2024
- Last updated
- Dec 26, 2024
- 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 | 289263 | KY | Primary |
Addresses
Primary practice location
121 S Public SQ
Greensburg, KY 42743-1532
Mailing address
162 Boat Ramp Rd
Columbia, KY 42728-9572
Phone (270) 403-7600
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 |
|---|---|---|---|
| 289263 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1689482382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BOAT RAMP RD",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427289572",
"telephone_number": "270-403-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S PUBLIC SQ",
"city": "GREENSBURG",
"state": "KY",
"postal_code": "427431532",
"telephone_number": "270-403-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "BROOKLYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-26",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "289263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, KY
- Family Home Health Care Inc (Green County Adult Day)
- Freds Stores of Tennessee Inc (Freds Pharmacy 2019)
- Katherine E Freeman
- Jessica R Froedge, LPCC
- Barry Neal Frost, RPH
- Glasgow Pediatric Associates (Greensburg Healthcare)
- Glasgow Pediatric Associates, PSC (Greensburg Healthcare)
- Sydney Goff
- Debbie Graham, LPCC
- William Ellington Graham, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.