NPIMap

Organization Active NPI

Raining Faith Massage

  • Clinic/Center
  • Broomfield, CO
National Provider Identifier
1023306313
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1064 Issued in CO
Legal business name
RAINING FAITH MASSAGE
Practice address
1347 McIntosh Ave
Broomfield, CO 80020-2482
Phone
(720) 259-2289
Fax
(720) 259-2289
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Matthew Gibble, RMTNPI 1346491487
Title
Owner
Phone
(720) 259-2289

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
Clinic/Center 261Q00000X 1064 CO Primary

Addresses

Primary practice location

1347 McIntosh Ave
Broomfield, CO 80020-2482

Mailing address

1347 McIntosh Ave
Broomfield, CO 80020-2482
Phone (720) 259-2289

National Provider Directory

National Provider Directory

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1023306313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 MCINTOSH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202482",
            "telephone_number": "720-259-2289",
            "fax_number": "720-259-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 MCINTOSH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202482",
            "telephone_number": "720-259-2289",
            "fax_number": "720-259-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINING FAITH MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "GIBBLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-259-2289",
        "authorized_official_credential": "RMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.