Active NPI
Sherri Bullock, M.T.
- Massage Therapist
- Parker, CO
National Provider Identifier
1093263527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0004485
- Practice address
- 11960 Lioness Way
Suite 280
Parker, CO 80134-5640 - Phone
- (303) 790-7877
- Fax
- (303) 799-4676
- NPI assigned
- Sep 13, 2016
- 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 | MT.0004485 | CO | Primary |
Addresses
Primary practice location
11960 Lioness Way
Suite 280
Parker, CO 80134-5640
Mailing address
11960 Lioness Way
Suite 280
Parker, CO 80134-5640
Phone (303) 790-7877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT.0004485 | Other | CO | STATE OF COLORADO |
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0004485 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1093263527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11960 LIONESS WAY",
"address_2": "SUITE 280",
"city": "PARKER",
"state": "CO",
"postal_code": "801345640",
"telephone_number": "303-790-7877",
"fax_number": "303-799-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11960 LIONESS WAY",
"address_2": "SUITE 280",
"city": "PARKER",
"state": "CO",
"postal_code": "801345640",
"telephone_number": "303-790-7877",
"fax_number": "303-799-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "SHERRI",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0004485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO",
"identifier": "MT.0004485",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.