NPIMap

Organization Active NPI

Valence Massage

  • Massage Therapist
  • Springfield, MO
National Provider Identifier
1144651571
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2007004680 Issued in MO
Legal business name
VALENCE MASSAGE
Practice address
4411 E. Sunshine
Suite H
Springfield, MO 65809
Phone
(417) 887-1350
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Mr. Jon Tallerico, LMTNPI 1568241834
Title
Owner/Therapist
Phone
(417) 887-1350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2007004680 MO Primary

Addresses

Primary practice location

4411 E. Sunshine
Suite H
Springfield, MO 65809

Mailing address

4411 E. Sunshine
Suite H
Springfield, MO 65809
Phone (417) 887-1350

National Provider Directory

National Provider Directory

Locations

4411 E Sunshine St
Ste H
Springfield, MO 65809
Phone (417) 887-1350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1144651571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E. SUNSHINE",
            "address_2": "SUITE H",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65809",
            "telephone_number": "417-887-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E. SUNSHINE",
            "address_2": "SUITE H",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65809",
            "telephone_number": "417-887-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "TALLERICO",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "417-887-1350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2007004680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.