Pro-Active Muscle Therapy, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG009620 Issued in PA

Legal business name

PRO-ACTIVE MUSCLE THERAPY, LLC

Practice address

598 E Christine Rd
Nottingham, PA 19362-9734

Phone

(610) 932-8888

Fax

(610) 932-8888

NPI assigned

Apr 2, 2016

Last updated

Apr 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ann Patrice Grez-Hughes, LMT

Title

Owner/Therapist

Phone

(610) 932-8888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1184087595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 E CHRISTINE RD",
            "city": "NOTTINGHAM",
            "state": "PA",
            "postal_code": "193629734",
            "telephone_number": "610-932-8888",
            "fax_number": "610-932-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 E CHRISTINE RD",
            "city": "NOTTINGHAM",
            "state": "PA",
            "postal_code": "193629734",
            "telephone_number": "610-932-8888",
            "fax_number": "610-932-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-ACTIVE MUSCLE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "GREZ-HUGHES",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "610-932-8888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG009620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Healeydale, PTA
• Kassandra Storm Johnson, LPN
• Abigail Farrell Kamertz, NP
• Don Krueger, RPH
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 04020)
• Heidi Ann Scott, LPC
• Sara Tomasulo, MT-BC

• Massage Therapist in Nottingham, PA
• Providers in Nottingham, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.