Organization Active NPI

Ab Massage Threapy, PLLC

  • Massage Therapist
  • Cottonwood, AZ
National Provider Identifier
1831861996
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
AB MASSAGE THREAPY, PLLC
Practice address
1765 E Villa Dr Ste a
Cottonwood, AZ 86326-5481
Phone
(928) 235-8821
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Amber Nacole Brandt, LMTNPI 1205175486
Title
Owner
Phone
(928) 235-8821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1765 E Villa Dr Ste a
Cottonwood, AZ 86326-5481

Mailing address

1765 E Villa Dr Ste a
Cottonwood, AZ 86326-5481
Phone (928) 235-8821

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abmassage@icloud.com Direct

National Provider Directory

National Provider Directory

Locations

1765 E Villa Dr
Ste A
Cottonwood, AZ 86326
Phone (928) 235-8821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1831861996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 E VILLA DR STE A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265481",
            "telephone_number": "928-235-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 E VILLA DR STE A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265481",
            "telephone_number": "928-235-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB MASSAGE THREAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NACOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-235-8821",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abmassage@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1765 E Villa Dr Ste A",
            "city": "Cottonwood",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863265481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.