Individual provider Active NPI

Brooklyn Sarah Webb

  • Massage Therapist
  • Post Falls, ID
National Provider Identifier
1871237289
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS3273 Issued in ID
Practice address
1624 E Seltice Way
Post Falls, ID 83854-7022
Phone
(208) 777-0128
Fax
(208) 773-9600
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAS3273 ID Primary

Addresses

Primary practice location

1624 E Seltice Way
Post Falls, ID 83854-7022

Mailing address

1624 E Seltice Way
Post Falls, ID 83854-7022
Phone (208) 818-3290

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 1861682353 Other Hardison-Walz PC

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
MAS3273IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardison-Walz PC CurrentSince Apr 24, 2022 Accepting new patients

Locations

1624 E Seltice Way
Post Falls, ID 83854
Phone (208) 777-0128

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1871237289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-818-3290",
            "fax_number": "208-773-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-777-0128",
            "fax_number": "208-773-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BROOKLYN",
        "middle_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1861682353",
            "affiliation": "Y",
            "endpointDescription": "Mountain View Chiropractic",
            "affiliationName": "Hardison-Walz PC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Mountain view chiropractic",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Post Falls",
            "address_1": "1624 E Seltice Way",
            "city": "Post Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838547022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.