Active NPI
Michael Andrew Frazier, LMT
- Massage Therapist
- Lakewood, CO
National Provider Identifier
1073396669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0022720
- Practice address
- 3234 S Wadsworth Blvd Unit a
Lakewood, CO 80227-5004 - Phone
- (303) 955-4882
- NPI assigned
- Aug 16, 2023
- 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 | 0022720 | CO | Primary |
Addresses
Primary practice location
3234 S Wadsworth Blvd Unit a
Lakewood, CO 80227-5004
Mailing address
4587 Holland St
Wheat Ridge, CO 80033-3034
Phone (720) 218-2119
Other practice location 1
4587 Holland St
Wheat Ridge, CO 80033-3034
Phone (720) 218-2119
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 |
|---|---|---|---|
| 0022720 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&G Beauty Company LLC | Massage Therapist | Current | Accepting new patients |
Locations
3234 S Wadsworth Blvd
Unit A
Lakewood, CO 80227
Phone (303) 955-4882
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.
-
- Massage Therapist
- Lakewood, CO
- NPI 1992578025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1073396669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4587 HOLLAND ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800333034",
"telephone_number": "720-218-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3234 S WADSWORTH BLVD UNIT A",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802275004",
"telephone_number": "303-955-4882"
}
],
"practiceLocations": [
{
"address_1": "4587 Holland St",
"address_purpose": "LOCATION",
"city": "Wheat Ridge",
"state": "CO",
"postal_code": "800333034",
"country_code": "US",
"telephone_number": "720-218-2119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAZIER",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0022720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.