Active NPI
McKinley Bernard Knight, LMBT
- Massage Therapist
- Smithfield, NC
National Provider Identifier
1013550771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16327
- Practice address
- 3560 US Highway 301 S
Smithfield, NC 27577-9495 - Phone
- (919) 710-9895
- Fax
- (919) 205-1532
- NPI assigned
- Oct 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 16327 | NC | Primary |
Addresses
Primary practice location
3560 US Highway 301 S
Smithfield, NC 27577-9495
Mailing address
PO Box 2962
Smithfield, NC 27577-2962
Phone (919) 710-9895
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16327 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relax Renew Rejuvenate LLC | Massage Therapist | Current | Accepting new patients |
Locations
3560 US Highway 301 S
Smithfield, NC 27577
Phone (919) 710-9895
Organizations & group practices 1
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.
-
- Massage Therapist
- Smithfield, NC
- NPI 1508436387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1013550771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2962",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275772962",
"telephone_number": "919-710-9895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 US HIGHWAY 301 S",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275779495",
"telephone_number": "919-710-9895",
"fax_number": "919-205-1532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "MCKINLEY",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "LMBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-24",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "16327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.