Active NPI
Catherine Elizabeth Clark/Verlinde, L.M.T.
- Massage Therapist
- Prescott, AZ
National Provider Identifier
1073136388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-24460
- Practice address
- 1590 Willow Creek Rd
Prescott, AZ 86301-1164 - Phone
- (928) 227-1899
- NPI assigned
- May 20, 2020
- 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 | MT-24460 | AZ | Primary |
Addresses
Primary practice location
1590 Willow Creek Rd
Prescott, AZ 86301-1164
Mailing address
4901 N Hobo Cir
Prescott Valley, AZ 86314-5159
Phone (602) 679-5970
Other practice location 1
8200 E Jacque Dr
Prescott Valley, AZ 86314-6172
Phone (928) 277-8715
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 |
|---|---|---|---|
| MT-24460 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presscott Pain Center LLC | Massage Therapist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1073136388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 N HOBO CIR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863145159",
"telephone_number": "602-679-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011164",
"telephone_number": "928-227-1899"
}
],
"practiceLocations": [
{
"address_1": "8200 E Jacque Dr",
"address_purpose": "LOCATION",
"city": "Prescott Valley",
"state": "AZ",
"postal_code": "863146172",
"country_code": "US",
"telephone_number": "928-277-8715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK/VERLINDE",
"first_name": "CATHERINE",
"middle_name": "ELIZABETH",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-24460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.