Active NPI
Kevin Brown
- Massage Therapist
- Covington, LA
National Provider Identifier
1730625286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LA-4964
- Practice address
- 222 N Vermont St Ste J
Covington, LA 70433 - Phone
- (985) 788-8350
- NPI assigned
- Jan 9, 2017
- Sex
- Male
- 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 | LA-4964 | LA | Primary |
Addresses
Primary practice location
222 N Vermont St Ste J
Covington, LA 70433
Mailing address
70331 L St
Covington, LA 70433-5296
Phone (985) 788-8350
Other practice location 1
70331 L St
Covington, LA 70433-5296
Phone (985) 788-8350
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 |
|---|---|---|---|
| LA-4964 | LA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Therapeutics, LLC | Massage Therapist | Current | Accepting new patients |
Locations
222 N Vermont St
Ste J
Covington, LA 70433
Phone (985) 788-8350
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1730625286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70331 L ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335296",
"telephone_number": "985-788-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N VERMONT ST STE J",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-788-8350"
}
],
"practiceLocations": [
{
"address_1": "70331 L St",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "704335296",
"country_code": "US",
"telephone_number": "985-788-8350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-09",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA-4964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.