Individual provider Active NPI

Latanya Michelle Harris, LMT

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1184227720
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.016092 Issued in IL
Practice address
2934 W 25TH St Apt a
Chicago, IL 60623-4176
Phone
(312) 799-0146
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 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 227.016092 IL Primary

Addresses

Primary practice location

2934 W 25TH St Apt a
Chicago, IL 60623-4176

Mailing address

2934 W 25TH St Apt a
Chicago, IL 60623-4176
Phone (312) 799-0146

Other practice location 1

325 w Huron
Chicago, IL 60654
Phone (312) 799-0146

Other names 1

  • Royal Touch Massage Therapy Other name

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
227.016092ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1184227720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 W 25TH ST APT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234176",
            "telephone_number": "312-799-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 W 25TH ST APT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234176",
            "telephone_number": "312-799-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 w Huron",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60654",
            "country_code": "US",
            "telephone_number": "312-799-0146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LATANYA",
        "middle_name": "MICHELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.016092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROYAL",
            "last_name": "MASSAGE THERAPY",
            "middle_name": "TOUCH",
            "credential": "ROYALTOUCH MASSAGE T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

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