Active NPI
Kenneth Eugene Grubb, LMT
- Massage Therapist
- Mt Sterling, KY
National Provider Identifier
1053082248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 267952
- Practice address
- 107 Brandon Way
Mt Sterling, KY 40353-8500 - Phone
- (859) 499-1009
- Fax
- (859) 499-1016
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 27, 2021
- Sex
- Male
- 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 | 267952 | KY | Primary |
Addresses
Primary practice location
107 Brandon Way
Mt Sterling, KY 40353-8500
Mailing address
107 Brandon Way
Mt Sterling, KY 40353-8500
Phone (859) 499-1009
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SoapNote | 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 |
|---|---|---|---|
| 267952 | KY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linton Spine & Joint Center, LLC | Single Specialty | Current | Accepting new patients |
| Back Talk Chiropractic PSC | Single Specialty | Past | Accepting new patients |
Locations
107 Brandon Way
Mt Sterling, KY 40353
Phone (859) 499-1009
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, 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": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1053082248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 BRANDON WAY",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403538500",
"telephone_number": "859-499-1009",
"fax_number": "859-499-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 BRANDON WAY",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403538500",
"telephone_number": "859-499-1009",
"fax_number": "859-499-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "267952",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SoapNote",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "SoapNote",
"address_1": "107 Brandon Way",
"city": "MT Sterling",
"state": "KY",
"country_code": "US",
"postal_code": "403538500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mt Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.