Individual provider Active NPI

Phillip Magana, MASSAGE THERAPIST

  • Massage Therapist
  • Flagstaff, AZ
National Provider Identifier
1043883556
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-27437 Issued in AZ
Practice address
710 N Beaver St BLDG 3
Flagstaff, AZ 86001-3147
Phone
(928) 226-1556
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 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 MT-27437 AZ Primary

Addresses

Primary practice location

710 N Beaver St BLDG 3
Flagstaff, AZ 86001-3147

Mailing address

1585 S Plaza Way Ste 150
Flagstaff, AZ 86001-7156

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
MT-27437AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Voytek Inc Massage Therapist CurrentSince Jul 1, 2021 Accepting new patients
Flagstaff Family Physicians PC CurrentSince Feb 2, 2025 Accepting new patients

Locations

710 N Beaver St
Bldg 3
Flagstaff, AZ 86001
Phone (928) 226-1454

1585 S Plaza Way
Ste 150
Flagstaff, AZ 86001
Phone (928) 226-1556

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1043883556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 S PLAZA WAY STE 150",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST BLDG 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013147",
            "telephone_number": "928-226-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "PHILLIP",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-27437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.