Active NPI
Timothy James Eberwein, LMT
- Massage Therapist
- Missoula, MT
National Provider Identifier
1134352420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 877
- Practice address
- 225 Hickory St
Missoula, MT 59801-1856 - Phone
- (406) 529-9195
- NPI assigned
- Sep 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA56903 | FL | |
| Massage Therapist | 225700000X | 877 | MT | Primary |
Addresses
Primary practice location
225 Hickory St
Missoula, MT 59801-1856
Mailing address
PO Box 3524
Missoula, MT 59806-3524
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 |
|---|---|---|---|
| MA56903 | FL | MD | Massage Therapist |
| 877 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291420800000",
"number": "1134352420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3524",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 HICKORY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011856",
"telephone_number": "406-529-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERWEIN",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-02",
"last_updated": "2010-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA56903",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.