Massage by Raven (Mobile, Clinical, Massage)

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MASSAGE BY RAVEN (MOBILE, CLINICAL, MASSAGE)

Practice address

732 Eden Way North Suite E
Chesapeake, VA 23320-2798

Phone

(757) 453-5513

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Raven Walker, MT

Title

Licensed Massage Therapist/Owner

Phone

(757) 453-5513

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1144974841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N STE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-453-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY NORTH SUITE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-453-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE BY RAVEN (MOBILE, CLINICAL, MASSAGE)",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "757-453-5513",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019011535",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL MASSAGE THERAPIST",
            "identifier": "0019011535",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kindra Mason
• Paula Meadows Mason
• Valerie Massa
• Warren Masters
• Christine Mastropasqua
• Crystal Leigh Matejcek, PHARMD
• Melissa M Mather, NP
• Miriam J Mather, PA-C

• Massage Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.