Individual provider Active NPI

Brian Ubert, BCMT

  • Massage Therapist
  • Lawrence, KS
National Provider Identifier
1750995387
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
CL-28822 Issued in KS
Practice address
401 Arkansas St
Lawrence, KS 66044-1338
Phone
(913) 706-7426
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2009021391 MO
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X CL-28822 KS Primary

Addresses

Primary practice location

401 Arkansas St
Lawrence, KS 66044-1338

Mailing address

803 Michigan St
Lawrence, KS 66044-3953
Phone (913) 706-7426

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

LicenseStateTypeSpecialty
CL-28822KSMDMassage Therapist
2009021391MOMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1750995387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MICHIGAN ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443953",
            "telephone_number": "913-706-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ARKANSAS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441338",
            "telephone_number": "913-706-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBERT",
        "first_name": "BRIAN",
        "credential": "BCMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2009021391",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "KS",
            "license": "CL-28822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.

Verify at the official NPI Registry.