Active NPI
Amber Lynne Brusso, LMP
- Massage Therapist
- Tacoma, WA
National Provider Identifier
1992007595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60069637
- Practice address
- 5213 Pacific Ave Ste 3
Tacoma, WA 98408-7695 - Phone
- (253) 474-1234
- NPI assigned
- Dec 2, 2010
- 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 | MA 60069637 | WA | Primary |
Addresses
Primary practice location
5213 Pacific Ave Ste 3
Tacoma, WA 98408-7695
Mailing address
5621 S Pine St
Tacoma, WA 98409-6215
Phone (253) 222-5760
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 |
|---|---|---|---|
| MA 60069637 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1992007595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5621 S PINE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096215",
"telephone_number": "253-222-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5213 PACIFIC AVE STE 3",
"city": "TACOMA",
"state": "WA",
"postal_code": "984087695",
"telephone_number": "253-474-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSSO",
"first_name": "AMBER",
"middle_name": "LYNNE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60069637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.