Active NPI
Teri Lewis
- Massage Therapist
- Bountiful, UT
National Provider Identifier
1194265645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9634472-4701
- Practice address
- 485 S 100 E
Bountiful, UT 84010-4903 - Phone
- (703) 505-5730
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 9634472-4701 | UT | Primary |
Addresses
Primary practice location
485 S 100 E
Bountiful, UT 84010-4903
Mailing address
2486 S 450 E
Bountiful, UT 84010-4311
Phone (703) 505-5730
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9634472-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1194265645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2486 S 450 E",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104311",
"telephone_number": "703-505-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S 100 E",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104903",
"telephone_number": "703-505-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "9634472-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.