Center for Myofascial Therapeutics and Aesthetics
NPI 1932750056ActiveOrganization· Nurse Practitioner· Saint John, IN
Nurse Practitioner in Saint John, Indiana, registered in NPPES in September 2019. The authorized official on file is Ariel Brazzale, NP, Ceo.
Overview
| NPI | 1932750056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2019 |
| Last updated in NPPES | Aug 21, 2023 |
| Certified by provider | Aug 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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