Individual provider Active NPI

Joshua Allan Roberts

  • Massage Therapist
  • Farmington, MO
National Provider Identifier
1194591727
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2023004989 Issued in MO
Practice address
114 E Columbia St Ste B5
Farmington, MO 63640-3103
Phone
(573) 952-9055
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 2023004989 MO Primary

Addresses

Primary practice location

114 E Columbia St Ste B5
Farmington, MO 63640-3103

Mailing address

134 Garson LN
Farmington, MO 63640-7832
Phone (573) 952-9055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address josh@appliedmassagearts.com Health Information Exchange (HIE)

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
2023004989MOMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Massage Arts, LLC Massage Therapist CurrentSince Dec 3, 2023 Accepting new patients

Locations

114 E Columbia St
Ste B5
Farmington, MO 63640
Phone (573) 952-9055

Interoperability endpoints

  • Direct secure messaging: josh@appliedmassagearts.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194591727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GARSON LN",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407832",
            "telephone_number": "573-952-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E COLUMBIA ST STE B5",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403103",
            "telephone_number": "573-952-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOSHUA",
        "middle_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2023004989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josh@appliedmassagearts.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114 E Columbia St Ste B5",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636403103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.