Individual provider Active NPI

Cathrine Mannina, LMT

  • Massage Therapist
  • Centennial, CO
National Provider Identifier
1194247353
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0016313 Issued in CO
Practice address
7700 E Arapahoe Rd Ste 250
Centennial, CO 80112-6108
Phone
(720) 489-6040
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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 MT0016313 CO Primary

Addresses

Primary practice location

7700 E Arapahoe Rd Ste 250
Centennial, CO 80112-6108

Mailing address

2338 La Mesa Dr
Boulder, CO 80303-9626
Phone (630) 842-0631

Other identifiers 1

IdentifierTypeStateIssuer
MT0016313OtherCODORA-COLORADO

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
MT0016313COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jung Spinal Care PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1194247353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 LA MESA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803039626",
            "telephone_number": "630-842-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E ARAPAHOE RD STE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126108",
            "telephone_number": "720-489-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINA",
        "first_name": "CATHRINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0016313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA-COLORADO",
            "identifier": "MT0016313",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.