Active NPI
Clifton Nathaniel Royse, LMT
- Massage Therapist
- Morgantown, WV
National Provider Identifier
1235415910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2005-1782
- Practice address
- 943 Maple Dr
Morgantown, WV 26505-2812 - Phone
- (304) 599-2515
- Fax
- (304) 285-3738
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | C50152 | WV | |
| Massage Therapist | 225700000X | 2005-1782 | WV | Primary |
Addresses
Primary practice location
943 Maple Dr
Morgantown, WV 26505-2812
Mailing address
943 Maple Dr
Morgantown, WV 26505-2812
Phone (304) 599-2515
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 |
|---|---|---|---|
| C50152 | WV | MD | Orthotic Fitter |
| 2005-1782 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1235415910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 MAPLE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052812",
"telephone_number": "304-599-2515",
"fax_number": "304-285-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 MAPLE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052812",
"telephone_number": "304-599-2515",
"fax_number": "304-285-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYSE",
"first_name": "CLIFTON",
"middle_name": "NATHANIEL",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "WV",
"license": "C50152",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2005-1782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.