Active NPI
Mary Downs, LMT
- Massage Therapist
- Berea, KY
National Provider Identifier
1255658654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- KY2229
- Practice address
- 164 Plaza Dr
Berea, KY 40403-2062 - Phone
- (239) 207-0731
- NPI assigned
- Apr 23, 2010
- Last updated
- Apr 23, 2010
- 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 | KY2229 | KY | Primary |
Addresses
Primary practice location
164 Plaza Dr
Berea, KY 40403-2062
Mailing address
PO Box 1420
MC Kee, KY 40447-1420
Phone (606) 287-1578
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 |
|---|---|---|---|
| KY2229 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1255658654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1420",
"city": "MC KEE",
"state": "KY",
"postal_code": "404471420",
"telephone_number": "606-287-1578",
"fax_number": "606-287-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 PLAZA DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404032062",
"telephone_number": "239-207-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNS",
"first_name": "MARY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "KY2229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.