Ityra Robinson, LMBT 4208

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4208 Issued in NC

Practice address

111 Trail One Ste 102-103
Burlington, NC 27215-5672

Phone

(919) 236-5860

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1184261695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 S NC HIGHWAY 49",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159621",
            "telephone_number": "919-236-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TRAIL ONE STE 102-103",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155672",
            "telephone_number": "919-236-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ITYRA",
        "credential": "LMBT 4208",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "4208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Burlington",
            "affiliation": "N",
            "address_1": "111 Trail One Ste 102-103",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272155672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert E. Jepko D.D.S., PA
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• Kinsey Morgan Roberts, PA-C
• Julie Scarlett Robertson, MS, RD, LDN
• Micia Roby, D.O.
• Denny Rodenberg
• Caitlin Jernigan Rodgers, PA-C
• Cristina Keren Rodriguez
• Elias Gregory Rodriguez, FNP-BC

• Massage Therapist in Burlington, NC
• Providers in Burlington, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.