Kelly Foster, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019006819 Issued in VA

Practice address

3108 Tyre Neck Rd Ste D
Portsmouth, VA 23703

Phone

(757) 323-5139

NPI assigned

Nov 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fostering Wellness Massage Therapy

  • Massage Therapist
  • Portsmouth, VA
  • NPI 1780160200
  NPD (past) Authorized official

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1174037444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 MEADOW DR W",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214132",
            "telephone_number": "757-323-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 TYRE NECK RD STE D",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23703",
            "telephone_number": "757-323-5139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Western Branch Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233215543",
            "country_code": "US",
            "telephone_number": "757-686-3716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KELLY",
        "credential": "LMT, MMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-25",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "19006819",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019006819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Edward Fore II, MD
• Forever Caring Home Healthcare LLC
• Andrew Forrest
• Debra Kay Forsythe, LCSW
• Janel F Foster, D.O.
• La'Shawn Foster
• Michael Anthony Foster, PH.D.
• Sarone Anto'Nette Foster, C.N.A
• Fostering Wellness Massage Therapy
• Raisa Foushee, MD

• Massage Therapist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.