Individual provider Active NPI

Ryan Courteney Hollis, LMT

  • Massage Therapist
  • Columbia, SC
National Provider Identifier
1043547250
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS 5389 Issued in SC
Practice address
1924 Barnwell St # 3
Columbia, SC 29201-2604
Phone
(803) 386-9568
NPI assigned
Nov 9, 2009
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAS 5389 SC Primary

Addresses

Primary practice location

1924 Barnwell St # 3
Columbia, SC 29201-2604

Mailing address

1924 Barnwell St # 3
Columbia, SC 29201-2604
Phone (803) 386-9568

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

LicenseStateTypeSpecialty
MAS 5389SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage and Bodyworx LLC Massage Therapist CurrentSince Nov 18, 2025 Accepting new patients

Locations

1924 Barnwell St
#3
Columbia, SC 29201
Phone (803) 386-9568

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1043547250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 BARNWELL ST # 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012604",
            "telephone_number": "803-386-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 BARNWELL ST # 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012604",
            "telephone_number": "803-386-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "RYAN",
        "middle_name": "COURTENEY",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "MAS 5389",
            "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 Nov 11, 2025; 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.