Cheryl R Anderson, LMT, CMMP – Massage Therapist

Key facts

NPI: 1134470313
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 5018 (LA)
Practice address: 112 Bedford St
La Place, LA 70068-5224
Phone: (985) 981-5662
NPI assigned: Sep 27, 2012
Sex: Female
Sole proprietor: Yes

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.

Anderson Therapeutic Massage Mechanotherapist · Terrytown, LA · NPI 1396105680

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Anderson Therapeutic Massage		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	5018	LA	Yes

Addresses

Primary practice location

112 Bedford St
La Place, LA 70068-5224

Mailing address

112 Bedford St
La Place, LA 70068-5224
Phone (985) 981-5662

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 27, 2012.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1134470313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BEDFORD ST",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685224",
            "telephone_number": "985-981-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BEDFORD ST",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685224",
            "telephone_number": "985-981-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHERYL",
        "middle_name": "R",
        "credential": "LMT, CMMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "5018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

All providers in La Place, LA · Massage Therapist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.