Active NPI
Northern Kentucky Medical Massage
- Massage Therapist
- Fort Thomas, KY
National Provider Identifier
1225887094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- NORTHERN KENTUCKY MEDICAL MASSAGE
- Practice address
- 2221 Memorial Pkwy
Fort Thomas, KY 41075-1524 - Phone
- (859) 545-0775
- NPI assigned
- May 15, 2024
- Last updated
- May 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Laaker
- Title
- Owner
- Phone
- (859) 545-0775
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NU | Primary |
Addresses
Primary practice location
2221 Memorial Pkwy
Fort Thomas, KY 41075-1524
Mailing address
323 Retreat St
Bellevue, KY 41073-1413
Phone (510) 717-2066
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Massage Therapist
- Fort Thomas, KY
- NPI 1033726146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1225887094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 RETREAT ST",
"city": "BELLEVUE",
"state": "KY",
"postal_code": "410731413",
"telephone_number": "510-717-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 MEMORIAL PKWY",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751524",
"telephone_number": "859-545-0775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN KENTUCKY MEDICAL MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "LAAKER",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-545-0775"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.