Tabitha D Theodos, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8198 Issued in LA

Practice address

900 Pershing Hwy
Jonesboro, LA 71251-2046

Phone

(318) 259-9899

Fax

(318) 259-9897

NPI assigned

May 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson Parish Therapy Center LLC

  • Physical Therapist
  • Ruston, LA
  • NPI 1891794491
  NPD

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013445600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PERSHING HWY",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512046",
            "telephone_number": "318-259-9899",
            "fax_number": "318-259-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PERSHING HWY",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512046",
            "telephone_number": "318-259-9899",
            "fax_number": "318-259-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOS",
        "first_name": "TABITHA",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "8198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stepping Stones Counseling Agency
• Timothy Stewart
• Cynthia Denise Tate
• Dana Telano, LOTR
• Miranda Henley Theodos
• Atsie Nicole Tolar, MS, RD, LDN
• Trustworthy Transit L.L.C.
• Rhonda P Vanburen, RN
• Tiffany Vines
• Wal-Mart Stores East LP

• Massage Therapist in Jonesboro, LA
• Providers in Jonesboro, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.