Alicia C Roberts, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12020 Issued in SC

Practice address

1311 13TH Ave Unit F
Conway, SC 29526-3668

Phone

(843) 855-2322

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

No

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.

• Twisted Oak Medical Massage LLC

  • Massage Therapist
  • Conway, SC
  • NPI 1487420600
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2023.

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1124894399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CEDAR LN",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295276031",
            "telephone_number": "757-375-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 13TH AVE UNIT F",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263668",
            "telephone_number": "843-855-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALICIA",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "12020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivertown Pharmacy Inc
• Rivertown Pharmacy Inc
• Rivertown Primary Medical
• Rivertown Wellness Center, LLC
• Brittney Marie Robbins
• Travis R Roberts, LMT
• Edward R Robinson Jr., BA
• Jonathan Edmund Roby
• Rocky Mountain Holdings LLC
• Rachel Rodenberg

• All providers in Conway, SC
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.