Brett Bigelow, LMT
Massage Therapist in Peoria, AZ. Individual provider (NPI-1).
NPI number1295657104
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1295657104
- Entity type
- Individual (NPI-1)
- Name
- Brett Bigelow
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2026
- Certification date
- Jul 29, 2026
- Last updated
- Jul 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT-29091 | AZ | Yes |
Practice location
13760 N 93rd Ave Ste 105Peoria, AZ 85381-4260
Phone 602-402-9360
Mailing address
10140 W Potter DrPeoria, AZ 85382-2561
Phone 602-402-9360
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Massage Therapist providers in Peoria · All 3,876 providers in Peoria
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