Organization Active NPI

Flourish Therapeutic Massage

  • Massage Therapist
  • Knoxville, TN
National Provider Identifier
1154902872
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
FLOURISH THERAPEUTIC MASSAGE
Practice address
222 S Peters Rd
Knoxville, TN 37923-5203
Phone
(865) 456-1501
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Kaitlyn Sierra Cooke
Title
Ceo
Phone
(865) 456-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

222 S Peters Rd
Knoxville, TN 37923-5203

Mailing address

222 S Peters Rd
Knoxville, TN 37923-5203
Phone (865) 456-1501

Other names 1

  • Flourish Therapeutic Massage Other name

National Provider Directory

National Provider Directory

Locations

222 S Peters Rd
Knoxville, TN 37923
Phone (865) 456-1501

Practitioners & affiliated clinicians

Practitioners 1

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": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1154902872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235203",
            "telephone_number": "865-456-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235203",
            "telephone_number": "865-456-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "SIERRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-456-1501"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flourish Therapeutic Massage",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Flourish Therapeutic Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

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