CENTER FOR MYOFASCIAL THERAPEUTICS AND AESTHETICS
NPI 1932750056
Nurse Practitioner in Saint John, IN

Q: What is Center For Myofascial Therapeutics And Aesthetics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 20, 2019

9430 WICKER AVE, SAINT JOHN, IN 46373(219) 558-8068(877) 822-9116 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 21, 2023, Nov 14, 2022, Nov 6, 2022 and 2 more (5 updates tracked since 2019).

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About Center For Myofascial Therapeutics And Aesthetics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR MYOFASCIAL THERAPEUTICS AND AESTHETICS (NPI 1932750056), doing business as Brazzale Surgical Assisting Llc, is a healthcare organization registered as a nurse practitioner in Saint John, Indiana and active in the NPI registry since September 2019. The organization maintains 5 additional practice locations and lists Ariel Brazzale, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932750056

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCENTER FOR MYOFASCIAL THERAPEUTICS AND AESTHETICS

Location Address9430 WICKER AVESaint John, IN 46373-9400

Mailing Address9430 Wicker AveSaint John, IN 46373-9400 · (219) 558-8068 · Fax (877) 822-9116

Phone(219) 558-8068

Fax(877) 822-9116

Organization SubpartNo

Authorized OfficialAriel BrazzaleCeo · (219) 669-1034

Enumeration DateSeptember 20, 2019

Last NPPES UpdateAugust 21, 20235 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1932750056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X

9430 WICKER AVE, Saint John, IN 46373

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Other Names 1

Former Legal Business NameBrazzale Surgical Assisting Llc

Secondary Practice Locations 5

Location 17749 West 105th AvenueCrown Point, IN 46307 · Phone (219) 669-1034 · Fax (877) 822-9116

Location 2901 MacArthur BlvdMunster, IN 46321-2959 · Phone (219) 558-8068

Location 38701 BroadwayMerrillville, IN 46410-7035 · Phone (219) 558-8068

Location 4929 Ridge Rd Ste 7Munster, IN 46321-1769 · Phone (219) 558-8068 · Fax (877) 822-9116

Location 52020 E Columbus Dr Ste BEast Chicago, IN 46312-2830 · Phone (219) 397-8648 · Fax (877) 822-9116

Other Identifiers 1

Other71013263AIN · Indiana Nursing Board License

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FUZE MEDICAL

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

9430 WICKER AVE
SAINT JOHN, IN 46373

Lake County (219) 558-8068

NIKHIL MALIK P.T., C.E.A.S.

Physical Therapist

9430 WICKER AVE
SAINT JOHN, IN 46373

Lake County (219) 616-6475

ARIEL PATRICIA BRAZZALE FNP- BC

Nurse Practitioner

9430 WICKER AVE
SAINT JOHN, IN 46373

Lake County (219) 669-1034

GENESIS REHAB SERVICES LLC

Clinic/Center (Physical Therapy)

9430 WICKER AVE, 1534 119TH STREET
SAINT JOHN, IN 46373

Lake County (219) 655-5285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Myofascial Therapeutics And Aesthetics's NPI number?

The NPI number for Center For Myofascial Therapeutics And Aesthetics is 1932750056. It was assigned to this organization in the NPPES registry on September 20, 2019. The provider was formerly known as Brazzale Surgical Assisting LLC.

Where is Center For Myofascial Therapeutics And Aesthetics located?

Center For Myofascial Therapeutics And Aesthetics is located at 9430 Wicker Ave, Saint John, IN 46373. The listed phone number is (219) 558-8068.

What is Center For Myofascial Therapeutics And Aesthetics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Center For Myofascial Therapeutics And Aesthetics was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.