Individual provider Active NPI

Erica Simpson, MASSAGE THERAPIST

  • Massage Therapist
  • Louisville, KY
National Provider Identifier
1164045811
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
S07555337 Issued in KY
Practice address
4041 Preston Hwy
Louisville, KY 40213-1601
Phone
(502) 272-4700
Fax
(502) 414-0262
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X S07555337 KY Primary

Addresses

Primary practice location

4041 Preston Hwy
Louisville, KY 40213-1601

Mailing address

417 Flirtation Walk
Louisville, KY 40219-2462
Phone (502) 510-6833

Other practice location 1

5129 Dixie Hwy Ste 105
Louisville, KY 40216-1729
Phone (502) 272-4700

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

State licenses

LicenseStateTypeSpecialty
S07555337KYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1164045811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FLIRTATION WALK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192462",
            "telephone_number": "502-510-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131601",
            "telephone_number": "502-272-4700",
            "fax_number": "502-414-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 Dixie Hwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402161729",
            "country_code": "US",
            "telephone_number": "502-272-4700",
            "fax_number": "502-414-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ERICA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "S07555337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.