Active NPI
Dolly Ann Brandt, L.M.T
- Massage Therapist
- Hood River, OR
National Provider Identifier
1770883134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11468
- Practice address
- 15 3Rd St
Hood River, OR 97031-2007 - Phone
- (541) 806-1181
- NPI assigned
- Nov 1, 2010
- Last updated
- Nov 1, 2010
- 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 | 11468 | OR | Primary |
Addresses
Primary practice location
15 3Rd St
Hood River, OR 97031-2007
Mailing address
PO Box 424
Odell, OR 97044-0424
Phone (541) 806-1181
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 |
|---|---|---|---|
| 11468 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1770883134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "ODELL",
"state": "OR",
"postal_code": "970440424",
"telephone_number": "541-806-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 3RD ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970312007",
"telephone_number": "541-806-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "DOLLY",
"middle_name": "ANN",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.