Active NPI
Brooke Neault, BCMT, CMT
- Massage Therapist
- San Francisco, CA
National Provider Identifier
1811232192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 570492-09
- Practice address
- 145 Balboa St Apt 103
San Francisco, CA 94118-4049 - Phone
- (530) 933-9123
- NPI assigned
- Nov 28, 2012
- 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 | 570492-09 | UT | Primary |
Addresses
Primary practice location
145 Balboa St Apt 103
San Francisco, CA 94118-4049
Mailing address
723 Harris Street
Marysville, CA 95901
Phone (530) 933-9123
Other practice location 1
3200 California St
San Francisco, CA 94118-1904
Phone (415) 292-1200
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 |
|---|---|---|---|
| 570492-09 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1811232192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 HARRIS STREET",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "95901",
"telephone_number": "530-933-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 BALBOA ST APT 103",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941184049",
"telephone_number": "530-933-9123"
}
],
"practiceLocations": [
{
"address_1": "3200 California St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941181904",
"country_code": "US",
"telephone_number": "415-292-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEAULT",
"first_name": "BROOKE",
"credential": "BCMT, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "570492-09",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.