Active NPI
Elizabeth Simone Druin, LMT
- Massage Therapist
- Louisville, KY
National Provider Identifier
1043870785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 168502
- Practice address
- 3101 Fern Valley Rd
Louisville, KY 40213-3562 - Phone
- (502) 968-7272
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 168502 | KY | Primary |
Addresses
Primary practice location
3101 Fern Valley Rd
Louisville, KY 40213-3562
Mailing address
4705 Andalusia LN
Louisville, KY 40272-3303
Phone (502) 974-7602
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 |
|---|---|---|---|
| 168502 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1043870785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 ANDALUSIA LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402723303",
"telephone_number": "502-974-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 FERN VALLEY RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402133562",
"telephone_number": "502-968-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUIN",
"first_name": "ELIZABETH",
"middle_name": "SIMONE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "168502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- DRS. Hinkebein, Davis & McCormick, PLLC (Growing Healthy Children)
- DRS. McCall, Currens, Ralston & Topor (Drs. McCall, Currens, Topor & Thompson)
- DRS. Young and Linehan, P.L.L.C.
- Christina Whitney Druck
- Mykayla Druien
- Madison Druin, OTR/L
- Kaitlyn Drummond, DPT
- Amy M Drury, PT
- Caroline Drury, MD
- Melanie Drury, MSN APRN FNP SANE-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.