Active NPI
Rachel Brda
- Massage Therapist
- Hillsboro, MO
National Provider Identifier
1952138919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2023012474
- Practice address
- 9122 Old State Route 21
Hillsboro, MO 63050-2510 - Phone
- (314) 408-9074
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 2023012474 | MO | Primary |
Addresses
Primary practice location
9122 Old State Route 21
Hillsboro, MO 63050-2510
Mailing address
9122 Old State Route 21
Hillsboro, MO 63050-2510
Phone (314) 408-9074
Other names 1
- Rachel Brda
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 |
|---|---|---|---|
| 2023012474 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1952138919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9122 OLD STATE ROUTE 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630502510",
"telephone_number": "314-408-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9122 OLD STATE ROUTE 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630502510",
"telephone_number": "314-408-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRDA",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2023012474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "BRDA",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hillsboro, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.