Individual provider Active NPI

Ashley Marie Holter, MT

  • Massage Therapist
  • Sioux Falls, SD
National Provider Identifier
1154081313
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT10508 Issued in SD
Practice address
7640 S Louise Ave Ste 110
Sioux Falls, SD 57108-5999
Phone
(605) 941-2747
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Massage Therapist 225700000X MT10508 SD Primary

Addresses

Primary practice location

7640 S Louise Ave Ste 110
Sioux Falls, SD 57108-5999

Mailing address

7640 S Louise Ave Ste 110
Sioux Falls, SD 57108-5999
Phone (605) 941-2747

Other identifiers 1

IdentifierTypeStateIssuer
1851918577OtherSDMASSAGE THERAPY

Other names 1

  • Ashley Marie Nordbye-Bohman Other name

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT10508SDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Massage Therapy LLC CurrentSince Jan 2, 2022 Accepting new patients

Locations

7640 S Louise Ave
Ste 110
Sioux Falls, SD 57108
Phone (605) 941-2747

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1154081313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 S LOUISE AVE STE 110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085999",
            "telephone_number": "605-941-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 S LOUISE AVE STE 110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085999",
            "telephone_number": "605-941-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTER",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT10508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "1851918577",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "NORDBYE-BOHMAN",
            "middle_name": "MARIE",
            "credential": "MT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.