Active NPI
Barbara Ellen Bennett, LMT
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1740807122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 101488
- Practice address
- 3333 Denali St Ste 150
Anchorage, AK 99503-4046 - Phone
- (907) 563-7662
- NPI assigned
- Jul 1, 2020
- 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 | 101488 | AK | Primary |
Addresses
Primary practice location
3333 Denali St Ste 150
Anchorage, AK 99503-4046
Mailing address
1005 Potlatch Cir
Anchorage, AK 99503-1778
Phone (907) 276-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101488 | Other | AK | LMT |
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 |
|---|---|---|---|
| 101488 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Amy M Cynowa DC PC | Current | Accepting new patients |
Locations
3333 Denali St
Ste 150
Anchorage, AK 99503
Phone (907) 563-7662
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.
-
- Health Service Clinic/Center
- Anchorage, AK
- NPI 1548546716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1740807122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 POTLATCH CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995031778",
"telephone_number": "907-276-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 DENALI ST STE 150",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034046",
"telephone_number": "907-563-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "BARBARA",
"middle_name": "ELLEN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "101488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "101488",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.