Active NPI
Micah Fordson
- Massage Therapist
- Columbia, SC
National Provider Identifier
1144756222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9888
- Practice address
- 3739 Oakleaf Rd Apt a
Columbia, SC 29206-5202 - Phone
- (803) 638-2786
- NPI assigned
- May 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 9888 | SC | Primary |
Addresses
Primary practice location
3739 Oakleaf Rd Apt a
Columbia, SC 29206-5202
Mailing address
3713 Covenant Rd
Columbia, SC 29204-4217
Phone (888) 753-0009
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1144756222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 COVENANT RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292044217",
"telephone_number": "888-753-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3739 OAKLEAF RD APT A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292065202",
"telephone_number": "803-638-2786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORDSON",
"first_name": "MICAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "9888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.