Zachary Vallely, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-LMT-LIC-20123 Issued in MT

Practice address

1554 Harrison Ave Ste E
Butte, MT 59701-4859

Phone

(406) 282-3150

NPI assigned

Mar 1, 2022

Last updated

Mar 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1073269866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 HARRISON AVE STE E",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014859",
            "telephone_number": "406-282-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 HARRISON AVE STE E",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014859",
            "telephone_number": "406-282-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLELY",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-20123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.massagebook.com/dashboard#/content,/soappremium/index/16040426",
            "affiliation": "N",
            "endpointDescription": "Secure SOAP note storage on a HIPPA compliant massage booking site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "customized soap notes",
            "address_1": "1554 Harrison Ave Ste E",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597014859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Butte, MT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.