Active NPI
Brianna Fox Agnello, LMT
- Massage Therapist
- Newtown, CT
National Provider Identifier
1730927088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9693
- Practice address
- 20 Church Hill Rd Ste 2
Newtown, CT 06470-1653 - Phone
- (203) 558-4645
- NPI assigned
- Jul 19, 2024
- Last updated
- Jul 19, 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 | 9693 | CT | Primary |
Addresses
Primary practice location
20 Church Hill Rd Ste 2
Newtown, CT 06470-1653
Mailing address
20 Church Hill Rd Ste 2
Newtown, CT 06470-1653
Phone (203) 558-4645
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 |
|---|---|---|---|
| 9693 | CT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1730927088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CHURCH HILL RD STE 2",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701653",
"telephone_number": "203-558-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CHURCH HILL RD STE 2",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701653",
"telephone_number": "203-558-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGNELLO",
"first_name": "BRIANNA",
"middle_name": "FOX",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CT",
"license": "9693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, CT
- Vincent P Addorisio, RPH
- Adult & Pediatric Counseling Specialists PLLC
- Adult, Child and Family Psychotherapy
- Advanced Rejuvenation Therapy (BioRestore)
- Alireza Afshar, MD
- Alejandro E Isgut MD LLC
- Samantha Andersen-Drenckhahn, LPC
- Andrea Reinhardt, LCSW and Associates, LLC (Real LLC)
- Stefanie Dee Aquilina, D.M.D.
- Melissa Arconti, LBA, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.