Active NPI
Stacy L Ross, R.M.T.
- Massage Therapist
- Westminster, CO
National Provider Identifier
1114235728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10342
- Practice address
- 4257 Main St
Suite 210
Westminster, CO 80031-5093 - Phone
- (720) 413-3252
- Fax
- (303) 469-1116
- NPI assigned
- Sep 16, 2010
- 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 | 10342 | CO | Primary |
Addresses
Primary practice location
4257 Main St
Suite 210
Westminster, CO 80031-5093
Mailing address
13244 Columbine Cir
Thornton, CO 80241-2075
Phone (720) 413-3252
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 |
|---|---|---|---|
| 10342 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric a Graves Inc | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1114235728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13244 COLUMBINE CIR",
"city": "THORNTON",
"state": "CO",
"postal_code": "802412075",
"telephone_number": "720-413-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4257 MAIN ST",
"address_2": "SUITE 210",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800315093",
"telephone_number": "720-413-3252",
"fax_number": "303-469-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STACY",
"middle_name": "L",
"credential": "R.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "10342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.