Kimberly Rexroad, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2014-3267 Issued in WV

Practice address

167 Dry Hill Rd
Beckley, WV 25801-2603

Phone

(304) 256-1111

Fax

(304) 256-1113

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kneaded Medical Massage LLC

  • Massage Therapist
  • Beckley, WV
  • NPI 1972039717
  NPD (past)

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1255868907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258020586",
            "telephone_number": "304-256-1111",
            "fax_number": "304-256-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 DRY HILL RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012603",
            "telephone_number": "304-256-1111",
            "fax_number": "304-256-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXROAD",
        "first_name": "KIMBERLY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2014-3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rescare
• Rescare
• Rescare
• Todd C Resley, M.D.
• Responsible Pain & Aesthetic Management
• Michele Dawn Rexroad, RD,LD
• Elizabeth Jane Reynolds
• Gina Maw Reynolds
• Johnathan Rezk, MD
• Rheumatology and Pulmonary Clinic PLLC

• Massage Therapist in Beckley, WV
• Providers in Beckley, WV by specialty
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.