Active NPI
Charles West Jr., LMT
- Massage Therapist
- Knoxville, TN
National Provider Identifier
1033520234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 64
- Practice address
- 318 Erin Dr Ste 5
Knoxville, TN 37919-6212 - Phone
- (865) 694-3144
- NPI assigned
- May 12, 2014
- Last updated
- May 12, 2014
- 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 | 64 | TN | Primary |
Addresses
Primary practice location
318 Erin Dr Ste 5
Knoxville, TN 37919-6212
Mailing address
PO Box 11606
Knoxville, TN 37939-1606
Phone (865) 694-3144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64 | Other | TN | TENNESSEE DEPT OF HEALTH MASSAGE LICENSURE BOARD |
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 |
|---|---|---|---|
| 64 | TN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1033520234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11606",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379391606",
"telephone_number": "865-694-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 ERIN DR STE 5",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196212",
"telephone_number": "865-694-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "64",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE DEPT OF HEALTH MASSAGE LICENSURE BOARD",
"identifier": "64",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.