Active NPI
Kimberly Rexroad, LMT
- Massage Therapist
- Beckley, WV
National Provider Identifier
1255868907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2014-3267
- Practice address
- 167 Dry Hill Rd
Beckley, WV 25801-2603 - Phone
- (304) 256-1111
- Fax
- (304) 256-1113
- NPI assigned
- May 12, 2017
- Last updated
- May 12, 2017
- 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 | 2014-3267 | WV | Primary |
Addresses
Primary practice location
167 Dry Hill Rd
Beckley, WV 25801-2603
Mailing address
PO Box 586
Beckley, WV 25802-0586
Phone (304) 256-1111
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 |
|---|---|---|---|
| 2014-3267 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kneaded Medical Massage LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}Other providers in Beckley, WV
Sources for this page
- 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.