Individual provider Active NPI

Catherine Mattix, L.M.T.

  • Massage Therapist
  • Erwin, TN
National Provider Identifier
1164847703
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10473 Issued in TN
Practice address
205 Union St
Suite 6
Erwin, TN 37650-1179
Phone
(423) 470-4363
NPI assigned
Feb 19, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 10473 TN Primary

Addresses

Primary practice location

205 Union St
Suite 6
Erwin, TN 37650-1179

Mailing address

4680 Cherokee Rd
Jonesborough, TN 37659-6980
Phone (423) 470-4363

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
10473TNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1164847703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 CHEROKEE RD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376596980",
            "telephone_number": "423-470-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 UNION ST",
            "address_2": "SUITE 6",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501179",
            "telephone_number": "423-470-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIX",
        "first_name": "CATHERINE",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "10473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.