Active NPI
Brian James Rahm, LMT
- Massage Therapist
- Fairbanks, AK
National Provider Identifier
1942726005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 104402
- Practice address
- 459 Farmers Loop Rd
Fairbanks, AK 99712-1406 - Phone
- (907) 456-1571
- NPI assigned
- Aug 20, 2017
- Sex
- Male
- 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 | 104402 | AK | Primary |
Addresses
Primary practice location
459 Farmers Loop Rd
Fairbanks, AK 99712-1406
Mailing address
PO Box 85164
Fairbanks, AK 99708-5164
Phone (907) 322-6815
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 |
|---|---|---|---|
| 104402 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Wellness Center, Inc. | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Fairbanks, AK
- NPI 1134252737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503187200000",
"number": "1942726005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85164",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997085164",
"telephone_number": "907-322-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 FARMERS LOOP RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997121406",
"telephone_number": "907-456-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHM",
"first_name": "BRIAN",
"middle_name": "JAMES",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-20",
"last_updated": "2017-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "104402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.