Active NPI
Olivia Booth, LMBT
- Massage Therapist
- Travelers Rest, SC
National Provider Identifier
1093520645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10406
- Practice address
- 3598 Highway 11 Ste 216
Travelers Rest, SC 29690-3502 - Phone
- (864) 610-2006
- NPI assigned
- Feb 11, 2025
- Last updated
- Feb 11, 2025
- 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 | 10406 | SC | Primary |
Addresses
Primary practice location
3598 Highway 11 Ste 216
Travelers Rest, SC 29690-3502
Mailing address
209 Highland Dr
Greer, SC 29651-1121
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 |
|---|---|---|---|
| 10406 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1093520645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 HIGHLAND DR",
"city": "GREER",
"state": "SC",
"postal_code": "296511121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3598 HIGHWAY 11 STE 216",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296903502",
"telephone_number": "864-610-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "OLIVIA",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "10406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travelers Rest, SC
- Matthew Bialkowski, PHARMD
- Nicole Birnhak, MASSAGE THERAPIST
- Sarah Anna Blum-Sheller, LM, CPM
- Hannah Moore Blume
- Bon Secours Medical Group Greenville Specialty Care LLC (Bon Secours Piedmont Orthopaedics-Travelers Rest)
- Megan McNulty Bowers, FNP
- William J Boyd Jr., DMD
- Brett Russell Physical Therapy and Fitness LLC
- Francis William Briceland II, ATC
- Bridgestep, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.