Organization Active NPI

The Massage Suite

  • Massage Therapist
  • Princeton, WV
National Provider Identifier
1023411576
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20062147 Issued in WV
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

Updated by the provider on Sep 29, 2014

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2006-2147OtherWVSTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Amanda G Stephenson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.