Active NPI
Raelyn Watson
- Massage Therapist
- Greenville, SC
National Provider Identifier
1194630848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14457
- Practice address
- 312 Ivystone Dr
Greenville, SC 29615-5470 - Phone
- (712) 577-6387
- NPI assigned
- Aug 17, 2026
- 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 | 14457 | SC | Primary |
Addresses
Primary practice location
312 Ivystone Dr
Greenville, SC 29615-5470
Mailing address
312 Ivystone Dr
Greenville, SC 29615-5470
Phone (712) 577-6451
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": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1194630848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 IVYSTONE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155470",
"telephone_number": "712-577-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 IVYSTONE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155470",
"telephone_number": "712-577-6387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "RAELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "SC",
"license": "14457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.