Freddy Kanthack, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-15279 Issued in AZ

Practice address

4200 S Alma School Rd
Chandler, AZ 85248-4899

Phone

(480) 234-9436

Fax

(480) 304-9318

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Regent Healthcare of Scottsdale

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1619077435
  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1124782966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484899",
            "telephone_number": "480-234-9436",
            "fax_number": "480-304-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484899",
            "telephone_number": "480-234-9436",
            "fax_number": "480-304-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTHACK",
        "first_name": "FREDDY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-15279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zia William Kanani, MD
• Meeghan Kanavel
• Jennifer Kane-Briones, MSW
• Harlie Kanner
• Stamatis Kantartzis, M.D.
• Adam H. Kantor, MD
• Bupe Kapansa, LCSW
• Jaclyn Michelle Kapilow, M.D.
• Lilah Kaplan
• Susanna Ellen Kapoor, PA-C

• Massage Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.