Loretta Dee Taylor

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019017139 Issued in VA

Practice address

210 Professional Park Dr SE Ste 10
Blacksburg, VA 24060-6649

Phone

(540) 605-8751

NPI assigned

Dec 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Body Balance Therapeutic Massage

  • Massage Therapist
  • Blacksburg, VA
  • NPI 1083950406
  NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1104586940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE STE 10",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606649",
            "telephone_number": "540-605-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE STE 10",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606649",
            "telephone_number": "540-605-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LORETTA",
        "middle_name": "DEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019017139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1083950406",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BodybalanceTM.janeapp.com",
            "affiliation": "Y",
            "endpointDescription": "CRM",
            "affiliationName": "Body Balance Therapeutic Massage",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CRM",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 Professional Park Dr SE",
            "address_2": "Suite 10",
            "city": "Blacksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan An Tang, DO, PHD
• Michael A Tatman, PT
• Brian Scott Taylor
• Christopher B Taylor
• Linda D Taylor, LPC
• Justin Neil Tebbenkamp, DDS
• Nina Templeton, MD
• Text-a-Cab LLC
• John Stephen Thacker, LAC, CMTPT
• The Cascade Group Inc

• Massage Therapist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.