Active NPI
Randy Tholl, N.C.T.M.
- Massage Therapist
- Reno, NV
National Provider Identifier
1205122082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- NVMT.3614
- Practice address
- 5270 Longley LN
Suite 106
Reno, NV 89511-2297 - Phone
- (775) 250-4543
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- 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 | NVMT.3614 | NV | Primary |
Addresses
Primary practice location
5270 Longley LN
Suite 106
Reno, NV 89511-2297
Mailing address
1885 Hidden Meadows Dr
Reno, NV 89502-8755
Phone (775) 250-4543
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 |
|---|---|---|---|
| NVMT.3614 | NV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1205122082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 HIDDEN MEADOWS DR",
"city": "RENO",
"state": "NV",
"postal_code": "895028755",
"telephone_number": "775-250-4543",
"fax_number": "775-857-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 LONGLEY LN",
"address_2": "SUITE 106",
"city": "RENO",
"state": "NV",
"postal_code": "895112297",
"telephone_number": "775-250-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOLL",
"first_name": "RANDY",
"credential": "N.C.T.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "NVMT.3614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.