Organization Active NPI

Therapeutic Massage Group and Equipment

  • Massage Therapist
  • Wichita, KS
National Provider Identifier
1063820538
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THERAPEUTIC MASSAGE GROUP AND EQUIPMENT
Practice address
2504 E Glen Oaks Cir
Wichita, KS 67216-2215
Phone
(316) 706-6965
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Janet A Kloes, MMP
Title
Director
Phone
(316) 706-6965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X KS Primary

Addresses

Primary practice location

2504 E Glen Oaks Cir
Wichita, KS 67216-2215

Mailing address

10500 E Berkeley Square Pkwy
Suite 102
Wichita, KS 67206-6815
Phone (316) 706-6965

Other identifiers 2

IdentifierTypeStateIssuer
22OtherKS22
225700000XOtherKS22

National Provider Directory

National Provider Directory

Locations

10500 E Berkeley Square Pkwy
Ste 102
Wichita, KS 67206

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1063820538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 E BERKELEY SQUARE PKWY",
            "address_2": "SUITE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066815",
            "telephone_number": "316-706-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E GLEN OAKS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672162215",
            "telephone_number": "316-706-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MASSAGE GROUP AND EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KLOES",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "316-706-6965",
        "authorized_official_credential": "MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22",
            "identifier": "22",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22",
            "identifier": "225700000X",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.