Active NPI
The Massage Suite
- Massage Therapist
- Princeton, WV
National Provider Identifier
1023411576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20062147
- Legal business name
- THE MASSAGE SUITE
- Practice address
- 2751 Old Bluefield Rd
Princeton, WV 24739-9019 - Phone
- (304) 431-3535
- NPI assigned
- Sep 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Stephenson
- Title
- Owner
- Phone
- (304) 431-3535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 20062147 | WV | Primary |
Addresses
Primary practice location
2751 Old Bluefield Rd
Princeton, WV 24739-9019
Mailing address
2751 Old Bluefield Rd
Princeton, WV 24739-9019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006-2147 | Other | WV | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Amanda G Stephenson
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Massage Therapist
- Princeton, WV
- NPI 1073825683
Locations
2751 Old Bluefield Rd
Princeton, WV 24739
Phone (304) 431-3535
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Bluefield, WV
- NPI 1316421878
-
- Physical Medicine & Rehabilitation Physician
- Princeton, WV
- NPI 1548800394
-
- Massage Therapist
- Princeton, WV
- NPI 1770986234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411948800000",
"number": "1023411576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 OLD BLUEFIELD RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247399019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 OLD BLUEFIELD RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247399019",
"telephone_number": "304-431-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MASSAGE SUITE",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-29",
"last_updated": "2014-09-29",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-431-3535"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WV",
"license": "20062147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2006-2147",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.