Active NPI
Audrey Zongrone
- Massage Therapist
- Moore, SC
National Provider Identifier
1174946859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3395
- Practice address
- 350 E Killarney LK
Moore, SC 29369-9489 - Phone
- (864) 517-2804
- NPI assigned
- Jan 30, 2014
- Last updated
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3395 | SC | Primary |
Addresses
Primary practice location
350 E Killarney LK
Moore, SC 29369-9489
Mailing address
350 E Killarney LK
Moore, SC 29369-9489
Phone (864) 517-2804
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1174946859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E KILLARNEY LK",
"city": "MOORE",
"state": "SC",
"postal_code": "293699489",
"telephone_number": "864-517-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E KILLARNEY LK",
"city": "MOORE",
"state": "SC",
"postal_code": "293699489",
"telephone_number": "864-517-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZONGRONE",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "3395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.