Active NPI
Katie Mastin, LMT
- Massage Therapist
- Cherry Hills Village, CO
National Provider Identifier
1194498311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0024330
- Practice address
- 4951 S Fairfax St
Cherry Hills Village, CO 80121-2017 - Phone
- (303) 740-8203
- NPI assigned
- Jul 26, 2021
- Last updated
- Jul 26, 2021
- 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 | MT.0024330 | CO | Primary |
Addresses
Primary practice location
4951 S Fairfax St
Cherry Hills Village, CO 80121-2017
Mailing address
4951 S Fairfax St
Cherry Hills Village, CO 80121-2017
Phone (303) 740-8203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT.0024330 | Other | CO | MASSAGE THERAPY LICENSE NUMBER |
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 |
|---|---|---|---|
| MT.0024330 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1194498311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 S FAIRFAX ST",
"city": "CHERRY HILLS VILLAGE",
"state": "CO",
"postal_code": "801212017",
"telephone_number": "303-740-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 S FAIRFAX ST",
"city": "CHERRY HILLS VILLAGE",
"state": "CO",
"postal_code": "801212017",
"telephone_number": "303-740-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTIN",
"first_name": "KATIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0024330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY LICENSE NUMBER",
"identifier": "MT.0024330",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hills Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.