Active NPI
Ashley Michelle Mack, LMT
- Massage Therapist
- Las Vegas, NV
National Provider Identifier
1194324616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 9525 Hillwood Dr Ste 100
Las Vegas, NV 89134-0596 - Phone
- (702) 642-5446
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
9525 Hillwood Dr Ste 100
Las Vegas, NV 89134-0596
Mailing address
649 Lineshack LN
Las Vegas, NV 89110-2110
Phone (702) 715-7112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NVMT10083 | Other | NV | STATE LICENSE |
| MT014566 | Other | GA | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | ChiroTouch | Other | ALIGNOLOGY, LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1194324616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 LINESHACK LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891102110",
"telephone_number": "702-715-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9525 HILLWOOD DR STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340596",
"telephone_number": "702-642-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "ASHLEY",
"middle_name": "MICHELLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "NVMT10083",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MT014566",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "ChiroTouch",
"affiliation": "Y",
"affiliationName": "ALIGNOLOGY, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "EHR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9525 Hillwood Dr Ste 100",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891340596",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.