Active NPI
Kayla A Parsons, CMT
- Massage Therapist
- Princeton, WV
National Provider Identifier
1245502590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20092622
- Practice address
- 2716 Old Athens Road
Princeton, WV 24739-8927 - Phone
- (304) 308-3016
- NPI assigned
- Feb 2, 2012
- 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 | 20092622 | WV | Primary |
Addresses
Primary practice location
2716 Old Athens Road
Princeton, WV 24739-8927
Mailing address
2716 Old Athens Road
Princeton, WV 24739-8927
Phone (304) 308-3016
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009-2622 | Other | WV | STATE LICENSE |
| 579573-09 | Other | WV | NATIONAL CERTIFICATION NCBTMB |
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 |
|---|---|---|---|
| 20092622 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1245502590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 OLD ATHENS ROAD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247398927",
"telephone_number": "304-308-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 OLD ATHENS ROAD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247398927",
"telephone_number": "304-308-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "KAYLA",
"middle_name": "A",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "20092622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2009-2622",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION NCBTMB",
"identifier": "579573-09",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.