Active NPI
Bre'Anna Glynn
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1962833103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60389514
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60389514 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Balance Bodywork, LLC | Massage Therapist | Current | Accepting new patients |
| Still Point Massage and Wellness Studio, LLC | Massage Therapist | Current | 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.
-
- Massage Therapist
- Vancouver, WA
- NPI 1316759723
-
- Massage Therapist
- Vancouver, WA
- NPI 1417356841
-
- Massage Therapist
- Vancouver, WA
- NPI 1609206465
-
- Chiropractor
- Vancouver, WA
- NPI 1558792747
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.