Active NPI
Heather Moore, LMT
- Massage Therapist
- Inman, SC
National Provider Identifier
1144846676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4509
- Practice address
- 20 Mill St
Inman, SC 29349-1531 - Phone
- (864) 621-7913
- NPI assigned
- Jun 20, 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 | 4509 | SC | Primary |
Addresses
Primary practice location
20 Mill St
Inman, SC 29349-1531
Mailing address
45 N Main St
Inman, SC 29349-1437
Phone (864) 621-7913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4509 | Other | SC | MASSAGE LICENSE # |
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": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592611200000",
"number": "1144846676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 N MAIN ST",
"city": "INMAN",
"state": "SC",
"postal_code": "293491437",
"telephone_number": "864-621-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MILL ST",
"city": "INMAN",
"state": "SC",
"postal_code": "293491531",
"telephone_number": "864-621-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-20",
"last_updated": "2020-06-20",
"certification_date": "2020-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "4509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE #",
"identifier": "4509",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.