Active NPI
Stephanie Colemere, LMT
- Massage Therapist
- Millcreek, UT
National Provider Identifier
1043936339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5114231-4701
- Practice address
- 4006 S Highland Dr
Millcreek, UT 84124-1617 - Phone
- (801) 755-2390
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- 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 | 5114231-4701 | UT | Primary |
Addresses
Primary practice location
4006 S Highland Dr
Millcreek, UT 84124-1617
Mailing address
2835 S 900 E
Salt Lake City, UT 84106-2260
Phone (801) 755-2390
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TKTmassage@hotmail.com | Direct |
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 |
|---|---|---|---|
| 5114231-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1043936339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062260",
"telephone_number": "801-755-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 S HIGHLAND DR",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841241617",
"telephone_number": "801-755-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMERE",
"first_name": "STEPHANIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "5114231-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TKTmassage@hotmail.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4006 S Highland Dr",
"city": "Millcreek",
"state": "UT",
"country_code": "US",
"postal_code": "841241617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Millcreek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.