Active NPI
Davina Harris, LMT
- Massage Therapist
- River Grove, IL
National Provider Identifier
1063890283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227001945
- Practice address
- 8364 W. Grand Avenue
River Grove, IL 60171 - Phone
- (708) 452-5686
- Fax
- (708) 452-1648
- NPI assigned
- May 7, 2015
- Last updated
- May 7, 2015
- 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 | 227001945 | IL | Primary |
Addresses
Primary practice location
8364 W. Grand Avenue
River Grove, IL 60171
Mailing address
PO Box 3176
Oak Park, IL 60303-3176
Phone (773) 350-5023
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 |
|---|---|---|---|
| 227001945 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic Specialists P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- River Grove, IL
- NPI 1841561867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1063890283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3176",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603033176",
"telephone_number": "773-350-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8364 W. GRAND AVENUE",
"city": "RIVER GROVE",
"state": "IL",
"postal_code": "60171",
"telephone_number": "708-452-5686",
"fax_number": "708-452-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DAVINA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227001945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.