Full Circle Massage Therapy LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

FULL CIRCLE MASSAGE THERAPY LLC

Practice address

3754 Brevard Rd Ste 105
Horse Shoe, NC 28742-8809

Phone

(828) 606-0258

NPI assigned

Jun 27, 2020

Organization subpart

No

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

Authorized official

Name

Tina Bennett Penland, LMBT, BCTMBNPI 1063671410

Title

Owner

Phone

(828) 606-0258

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Bennett Penland, LMBT

  • Massage Therapist
  • Horse Shoe, NC
  • NPI 1063671410
  NPD Authorized official
• Ashley Lauren Glenn, LMBT

  • Massage Therapist
  • Horse Shoe, NC
  • NPI 1841894607
  NPD
• Stephen Anthony Lefebvre, LMT

  • Massage Therapist
  • Horse Shoe, NC
  • NPI 1811514920
  NPD

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593216000000",
    "number": "1194342931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 BREVARD RD STE 105",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287428809",
            "telephone_number": "828-606-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 BREVARD RD STE 105",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287428809",
            "telephone_number": "828-606-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A",
        "authorized_official_last_name": "PENLAND",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-606-0258",
        "authorized_official_credential": "LMBT, BCTMB"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Cantrell, LPCA
• Ronald Robert Castellucci, DC
• Larry D Cole, R.PH.
• Shawn Faust, DNP
• Four Circles Recovery Center, LLC
• Ashley Lauren Glenn, LMBT
• Cori M Gonzalez, L.AC.
• Tom A Gross, DC
• Anna Majzlik Hicks, MD
• Ray Holland II, L.P.C, L.M.H.C.

• Massage Therapist in Horse Shoe, NC
• Providers in Horse Shoe, 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 Jun 27, 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.