NPIMap

Organization Active NPI

Indigo Sunshine Studio LLC

  • Massage Therapist
  • Troy, OH
National Provider Identifier
1255842571
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.023765 Issued in OH
Legal business name
INDIGO SUNSHINE STUDIO LLC
Practice address
1926 W Main St
Troy, OH 45373-1017
Phone
(505) 730-9943
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Authorized official

Name
Latrisha McGhee, LMTNPI 1467925461
Title
Owner
Phone
(505) 730-9943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 33.023765 OH Primary

Addresses

Primary practice location

1926 W Main St
Troy, OH 45373-1017

Mailing address

1926 W Main St
Troy, OH 45373-1017
Phone (505) 730-9943

Other practice location 1

1085 W Main St
Troy, OH 45373-2860
Phone (505) 730-9943

National Provider Directory

National Provider Directory

Locations

1926 W Main St
Troy, OH 45373
Phone (505) 730-9943

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593216000000",
    "number": "1255842571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731017",
            "telephone_number": "505-730-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731017",
            "telephone_number": "505-730-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732860",
            "country_code": "US",
            "telephone_number": "505-730-9943",
            "fax_number": "505-730-9943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDIGO SUNSHINE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "LATRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-730-9943",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.