Active NPI
Sydney Liane Webb, M.T.
- Massage Therapist
- Homer, AK
National Provider Identifier
1720209356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 28444
- Practice address
- 433 Grubstake Ave.
Homer, AK 99603 - Phone
- (907) 235-5252
- NPI assigned
- May 1, 2007
- 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 | 28444 | AK | Primary |
Addresses
Primary practice location
433 Grubstake Ave.
Homer, AK 99603
Mailing address
PO Box 3600
Homer, AK 99603-3600
Phone (907) 235-5252
Other names 1
- Ms. Sydney Liane Beach
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28444 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720209356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3600",
"city": "HOMER",
"state": "AK",
"postal_code": "996033600",
"telephone_number": "907-235-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 GRUBSTAKE AVE.",
"city": "HOMER",
"state": "AK",
"postal_code": "99603",
"telephone_number": "907-235-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "SYDNEY",
"middle_name": "LIANE",
"name_prefix": "Ms.",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "28444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYDNEY",
"last_name": "BEACH",
"middle_name": "LIANE",
"prefix": "MS.",
"credential": "B.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Homer, AK
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.