Active NPI
Patty Vo
- Massage Therapist
- Charlotte, NC
National Provider Identifier
1144824889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19164
- Practice address
- 118 E Kingston Ave Ste 36
Charlotte, NC 28203-4772 - Phone
- (704) 569-5489
- NPI assigned
- Nov 23, 2020
- 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 | 19164 | NC | Primary |
Addresses
Primary practice location
118 E Kingston Ave Ste 36
Charlotte, NC 28203-4772
Mailing address
215 Nottingham Dr
Huntersville, NC 28078-9052
Phone (704) 728-3031
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 |
|---|---|---|---|
| 19164 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgework Body Therapy | Massage Therapist | Current | Accepting new patients |
Locations
118 E Kingston Ave
Ste 36
Charlotte, NC 28203
Phone (704) 569-5489
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.
-
- Massage Therapist
- Charlotte, NC
- NPI 1912501651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1144824889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NOTTINGHAM DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789052",
"telephone_number": "704-728-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E KINGSTON AVE STE 36",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034772",
"telephone_number": "704-569-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "PATTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "19164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.