Active NPI
Terri Lyn Tubolino
- Massage Therapist
- Breckenridge, CO
National Provider Identifier
1114367117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0015007
- Practice address
- 233 South Ridge St.
C-1
Breckenridge, CO 80424 - Phone
- (970) 368-3270
- NPI assigned
- Jul 5, 2013
- Last updated
- Jul 5, 2013
- 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 | 0015007 | CO | Primary |
Addresses
Primary practice location
233 South Ridge St.
C-1
Breckenridge, CO 80424
Mailing address
PO Box 7399
Breckenridge, CO 80424-7399
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 |
|---|---|---|---|
| 0015007 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1114367117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7399",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "804247399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 SOUTH RIDGE ST.",
"address_2": "C-1",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-368-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBOLINO",
"first_name": "TERRI",
"middle_name": "LYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-05",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0015007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Breckenridge, CO
- Ten Mile Chiropractic, P.C.
- Thomas Rowe Dentistry PLLC (Breckenridge Family Dental)
- Barbara Dee Thomas, PT
- Three Lines PLLC (Treeline Dental)
- TLC Acupuncture & Natrual Medicine (TLC)
- Usacs Community Emergency Services of Colorado, Inc.
- Vail Clinic Inc (Howard Head Sports Medicine at Breckenridge)
- Vail Summit Physical Therapy LLC (Avalanche Physical Therapy)
- Vail-Summit Orthopaedics PC (Avalanche Physical Thearpy)
- Vail-Summit Orthopaedics PC (Vail Summit Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.