Organization Active NPI

Soda City Therapeutic Massage

  • Massage Therapist
  • Columbia, SC
National Provider Identifier
1033975545
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SODA CITY THERAPEUTIC MASSAGE
Practice address
300 Berkshire Dr Ste C
Columbia, SC 29223-1859
Phone
(803) 906-0301
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Willie J Lyons Jr., LMTNPI 1174389688
Title
Employee
Phone
(719) 205-6605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

300 Berkshire Dr Ste C
Columbia, SC 29223-1859

Mailing address

120 Bent Oak TRL
Blythewood, SC 29016-8380
Phone (719) 205-6605

National Provider Directory

National Provider Directory

Locations

300 Berkshire Dr
Ste C
Columbia, SC 29223
Phone (803) 906-0301

Practitioners & affiliated clinicians

Practitioners 1

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1033975545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BENT OAK TRL",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168380",
            "telephone_number": "719-205-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BERKSHIRE DR STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231859",
            "telephone_number": "803-906-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODA CITY THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "719-205-6605",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.