Individual provider Active NPI

Robert Thomas Carter III

  • Massage Therapist
  • Emmaus, PA
National Provider Identifier
1245079821
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG011289 Issued in PA
Practice address
419 State Ave Ste 5
Emmaus, PA 18049-3057
Phone
(610) 653-7701
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG011289 PA Primary

Addresses

Primary practice location

419 State Ave Ste 5
Emmaus, PA 18049-3057

Mailing address

227 W Broad St Ste 102
Bethlehem, PA 18018-5570
Phone (610) 653-7701

Other practice location 1

227 W Broad St Ste 102
Bethlehem, PA 18018-5570
Phone (610) 653-7701

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

LicenseStateTypeSpecialty
MSG011289PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Body Therapeutic Massage, LLC Massage Therapist CurrentSince May 26, 2024 Accepting new patients

Locations

227 W Broad St
Ste 102
Bethlehem, PA 18018
Phone (610) 653-7701

419 State Ave
Ste 5
Emmaus, PA 18049
Phone (610) 653-7701

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1245079821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W BROAD ST STE 102",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185570",
            "telephone_number": "610-653-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 STATE AVE STE 5",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493057",
            "telephone_number": "610-653-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 W Broad St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180185570",
            "country_code": "US",
            "telephone_number": "610-653-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG011289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.