Organization Active NPI

Blackthorne Inc

Doing business as Blackthorne Botanicals and Bodywork

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1013425743
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLACKTHORNE INC
Doing business as
Blackthorne Botanicals and Bodywork
Practice address
4010 Carlisle Blvd NE Suite D
Albuquerque, NM 87107-5633
Phone
(505) 977-0666
NPI assigned
Jan 16, 2018
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rhydian Blackthorne, LMTNPI 1467960336
Title
Owner/Ceo
Phone
(505) 977-0666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

4010 Carlisle Blvd NE Suite D
Albuquerque, NM 87107-5633

Mailing address

624 Douglas Macarthur Rd NW
Albuquerque, NM 87107
Phone (505) 977-0666

Other names 1

  • Blackthorne Botanicals and Bodywork Doing business as

National Provider Directory

National Provider Directory

Locations

231 Sierra Dr SE
Ste 7
Albuquerque, NM 87108
Phone (505) 331-6574

4010 Carlisle Blvd NE
Ste D
Albuquerque, NM 87107
Phone (505) 977-0666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1013425743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 DOUGLAS MACARTHUR RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87107",
            "telephone_number": "505-977-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 CARLISLE BLVD NE SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075633",
            "telephone_number": "505-977-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKTHORNE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "BLACKTHORNE",
        "authorized_official_first_name": "RHYDIAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-977-0666",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackthorne Botanicals and Bodywork",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.