NPIMap

Organization Active NPI

Boulder Therapeutics, Inc.

  • Massage Therapist
  • Boulder, CO
National Provider Identifier
1245668474
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M.T.0014772 Issued in CO
Legal business name
BOULDER THERAPEUTICS, INC.
Practice address
1800 30TH St Ste 215
Boulder, CO 80301-1026
Phone
(303) 444-1171
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Myriam Desrosiers Schmatz, CMT, RMT
Title
Massage Therapist
Phone
(303) 960-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X M.T.0014772 CO Primary

Addresses

Primary practice location

1800 30TH St Ste 215
Boulder, CO 80301-1026

Mailing address

1053 W Century Dr Apt 107
Louisville, CO 80027-1608
Phone (303) 960-8616

National Provider Directory

National Provider Directory
Tax ID family
Boulder Therapeutics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1245668474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 W CENTURY DR APT 107",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271608",
            "telephone_number": "303-960-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 215",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011026",
            "telephone_number": "303-444-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "SCHMATZ",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "DESROSIERS",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "303-960-8616",
        "authorized_official_credential": "CMT, RMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "M.T.0014772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

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

Verify at the official NPI Registry.