Organization Active NPI

Homer Massage Therapy

  • Massage Therapist
  • Homer, AK
National Provider Identifier
1144993569
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOMER MASSAGE THERAPY
Practice address
1104 Ocean Dr Unit a
Homer, AK 99603-7919
Phone
(907) 299-8284
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Rosalie Rice, LMTNPI 1427561364
Title
Owner
Phone
(907) 299-8284

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 Primary

Addresses

Primary practice location

1104 Ocean Dr Unit a
Homer, AK 99603-7919

Mailing address

PO Box 407
Anchor Point, AK 99556-0407
Phone (907) 299-8284

Other practice location 1

3585 E End Rd Unit 15
Homer, AK 99603-9426
Phone (907) 299-8284

Other identifiers 1

IdentifierTypeStateIssuer
45-2493925MedicaidAK

Other names 1

  • Rosalie Jaime LMT Former legal business name

National Provider Directory

National Provider Directory

Locations

1104 Ocean Dr
#A
Homer, AK 99603
Phone (907) 299-8284

Practitioners & affiliated clinicians

Practitioners 2

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1144993569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "ANCHOR POINT",
            "state": "AK",
            "postal_code": "995560407",
            "telephone_number": "907-299-8284",
            "fax_number": "206-312-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 OCEAN DR UNIT A",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037919",
            "telephone_number": "907-299-8284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3585 E End Rd Unit 15",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "AK",
            "postal_code": "996039426",
            "country_code": "US",
            "telephone_number": "907-299-8284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMER MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-299-8284",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-2493925",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosalie Jaime LMT",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rosalie Jaime LMT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.