The Wellness Journey Studio

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

1279 Issued in MA

Legal business name

THE WELLNESS JOURNEY STUDIO

Practice address

685 Pleasant St
Brockton, MA 02301-3072

Phone

(866) 577-8344

NPI assigned

Apr 22, 2013

Last updated

Apr 22, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Marie Baker-Bradley, LMTNPI 1194169094

Title

Sole Proprietor

Phone

(866) 577-8344

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise Marie Baker-Bradley, LMT, LSW

  • Massage Therapist
  • Brockton, MA
  • NPI 1194169094
  Authorized official Same address or phone

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1982048898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013072",
            "telephone_number": "866-577-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013072",
            "telephone_number": "866-577-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS JOURNEY STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "BAKER-BRADLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "866-577-8344",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MA",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC MASSAGE THERAPY",
            "identifier": "0000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Rehabilitation Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.