Active NPI
Susan Mary Clingman, RMT
- Massage Therapist
- Englewood, CO
National Provider Identifier
1003059775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2795
- Practice address
- 5031 S Federal Blvd
Suite 3
Englewood, CO 80110-6364 - Phone
- (303) 726-2575
- NPI assigned
- Apr 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 2795 | CO | Primary |
Addresses
Primary practice location
5031 S Federal Blvd
Suite 3
Englewood, CO 80110-6364
Mailing address
5031 S Federal Blvd
Suite 3
Englewood, CO 80110-6364
Phone (303) 726-2575
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1003059775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 S FEDERAL BLVD",
"address_2": "SUITE 3",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801106364",
"telephone_number": "303-726-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5031 S FEDERAL BLVD",
"address_2": "SUITE 3",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801106364",
"telephone_number": "303-726-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINGMAN",
"first_name": "SUSAN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "2795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.