Active NPI
Laurie Hazel Hardin, CMT
- Massage Therapist
- Indianapolis, IN
National Provider Identifier
1205128782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT20903061
- Practice address
- 9247 N Meridian St
Suite 210
Indianapolis, IN 46260-1879 - Phone
- (317) 966-8646
- NPI assigned
- May 3, 2011
- 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 | MT20903061 | IN | Primary |
Addresses
Primary practice location
9247 N Meridian St
Suite 210
Indianapolis, IN 46260-1879
Mailing address
16765 Aulton Dr
Noblesville, IN 46060-3949
Phone (317) 966-8646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT20903061 | Other | IN | MASSAGE THERAPIST LICENSE |
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 |
|---|---|---|---|
| MT20903061 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1205128782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16765 AULTON DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603949",
"telephone_number": "317-966-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9247 N MERIDIAN ST",
"address_2": "SUITE 210",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601879",
"telephone_number": "317-966-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "LAURIE",
"middle_name": "HAZEL",
"name_prefix": "Ms.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT20903061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST LICENSE",
"identifier": "MT20903061",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.