Cean Whitmarsh, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

130033 Issued in AK

Practice address

751 Old Richardson Hwy Ste 101
Fairbanks, AK 99701-7802

Phone

(907) 328-5965

Fax

(855) 414-4818

NPI assigned

Sep 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exclusively Incusive LLC

  dba Center of Intrinsic Alignment

  • Massage Therapist
  • Fairbanks, AK
  • NPI 1366076119
  NPD Authorized official

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1801344577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY STE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017802",
            "telephone_number": "907-328-5965",
            "fax_number": "855-414-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY STE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017802",
            "telephone_number": "907-328-5965",
            "fax_number": "855-414-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6363 State Highway 155 S",
            "address_purpose": "LOCATION",
            "city": "Gilmer",
            "state": "TX",
            "postal_code": "756457926",
            "country_code": "US",
            "telephone_number": "719-466-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMARSH",
        "first_name": "CEAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT123921",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0015832",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "130033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "business.office@ciaoffairbanks.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email service",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "751 Old Richardson Hwy Ste 101",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997017802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer White
• Shaun'Trece White
• Jonathan Whiting, RN
• Thomas Whitley
• Carolyn Ann Whitlock
• Herbert Whitted
• Mishaela Siree Whittier, D.O.
• Jasmine Rose Bullock Wicks, CD(DONA)
• Kimberlynn Wicks
• Jonathan Widman

• Massage Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.