Individual provider Active NPI

Brad Alan Lawson, LMT

  • Massage Therapist
  • Tulsa, OK
National Provider Identifier
1952605750
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
081152415 Issued in OK
Practice address
1722 S Carson Ave
Suite 3100
Tulsa, OK 74119-4666
Phone
(918) 587-7111
Fax
(918) 587-1177
NPI assigned
Jan 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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 081152415 OK Primary

Addresses

Primary practice location

1722 S Carson Ave
Suite 3100
Tulsa, OK 74119-4666

Mailing address

1722 S Carson Ave
Suite 3100
Tulsa, OK 74119-4666
Phone (918) 587-7111

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
081152415OKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Spinal Care, PC Massage Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1952605750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 S CARSON AVE",
            "address_2": "SUITE 3100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194666",
            "telephone_number": "918-587-7111",
            "fax_number": "918-587-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 S CARSON AVE",
            "address_2": "SUITE 3100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194666",
            "telephone_number": "918-587-7111",
            "fax_number": "918-587-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OK",
            "license": "081152415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.