Active NPI
David Secondo, L.M.T.
- Massage Therapist
- Denver, CO
National Provider Identifier
1023318110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9222
- Practice address
- 1529 York St
Suite #200
Denver, CO 80206-1408 - Phone
- (303) 886-9483
- NPI assigned
- Oct 24, 2010
- 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 | 9222 | CO | Primary |
Addresses
Primary practice location
1529 York St
Suite #200
Denver, CO 80206-1408
Mailing address
3300 Josephine St
Denver, CO 80205-4157
Phone (303) 886-9483
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 |
|---|---|---|---|
| 9222 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1023318110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 JOSEPHINE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802054157",
"telephone_number": "303-886-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 YORK ST",
"address_2": "SUITE #200",
"city": "DENVER",
"state": "CO",
"postal_code": "802061408",
"telephone_number": "303-886-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECONDO",
"first_name": "DAVID",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-24",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "9222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.