NPIMap

Organization Active NPI

Maryville Massage

  • Massage Therapist
  • Maryville, TN
National Provider Identifier
1215558556
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MARYVILLE MASSAGE
Practice address
1056 Willow Creek Cir
Maryville, TN 37804-3569
Phone
(865) 801-5551
NPI assigned
Apr 28, 2020
Last updated
Apr 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Kim Barr, LMTNPI 1235759648
Title
Owner
Phone
(865) 801-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

1056 Willow Creek Cir
Maryville, TN 37804-3569

Mailing address

1056 Willow Creek Cir
Maryville, TN 37804-3569
Phone (865) 801-5551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1215558556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 WILLOW CREEK CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043569",
            "telephone_number": "865-801-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 WILLOW CREEK CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043569",
            "telephone_number": "865-801-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-801-5551",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.