Individual provider Active NPI

Bre'Anna Glynn

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1962833103
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60389514 Issued in WA
Practice address
14313 NE 20TH Ave Ste A114
Vancouver, WA 98686-1485
Phone
(360) 433-9480
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 MA60389514 WA Primary

Addresses

Primary practice location

14313 NE 20TH Ave Ste A114
Vancouver, WA 98686-1485

Mailing address

14313 NE 20TH Ave Ste A114
Vancouver, WA 98686-1485
Phone (360) 433-9480

Other practice location 1

5904 NE Fourth Plain Blvd
Suite 101
Vancouver, WA 98661-6983
Phone (360) 696-8888

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
MA60389514WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Balance Bodywork, LLC Massage Therapist CurrentSince Aug 25, 2025 Accepting new patients
Still Point Massage and Wellness Studio, LLC Massage Therapist CurrentSince Aug 25, 2025 Accepting new patients
Accident Care Massage Therapist Past Accepting new patients
Accident Care Chiropractic and Massage Past Accepting new patients

Locations

14313 NE 20th Ave
Ste A114
Vancouver, WA 98686
Phone (360) 433-9480

Organizations & group practices 4

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": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1962833103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14313 NE 20TH AVE STE A114",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861485",
            "telephone_number": "360-433-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14313 NE 20TH AVE STE A114",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861485",
            "telephone_number": "360-433-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5904 NE Fourth Plain Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986616983",
            "country_code": "US",
            "telephone_number": "360-696-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "BRE'ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60389514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.