Active NPI
Timothy John Hackett, LMBT
- Massage Therapist
- Raleigh, NC
National Provider Identifier
1033287479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3012
- Practice address
- 10141 Darling St
Raleigh, NC 27613-4153 - Phone
- (919) 696-2029
- NPI assigned
- Dec 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3012 | NC | Primary |
Addresses
Primary practice location
10141 Darling St
Raleigh, NC 27613-4153
Mailing address
10141 Darling St
Raleigh, NC 27613-4153
Phone (919) 696-2029
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 |
|---|---|---|---|
| 3012 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1033287479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10141 DARLING ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276134153",
"telephone_number": "919-696-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10141 DARLING ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276134153",
"telephone_number": "919-696-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "3012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.