Individual provider Active NPI

Keith Simmonds

  • Massage Therapist
  • Cedar Rapids, IA
National Provider Identifier
1265392518
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
117818 Issued in IA
Practice address
1310 Tower LN NE Ste a
Cedar Rapids, IA 52402-7488
Phone
(319) 224-0225
NPI assigned
Nov 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 117818 IA Primary

Addresses

Primary practice location

1310 Tower LN NE Ste a
Cedar Rapids, IA 52402-7488

Mailing address

3801 Northwood Dr NE
Cedar Rapids, IA 52402-2734
Phone (319) 693-6748

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

LicenseStateTypeSpecialty
117818IAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bewellness LLC Massage Therapist CurrentSince Nov 24, 2025 Accepting new patients

Locations

1310 Tower Ln NE
Ste A
Cedar Rapids, IA 52402
Phone (319) 224-0225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1265392518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NORTHWOOD DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022734",
            "telephone_number": "319-693-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 TOWER LN NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027488",
            "telephone_number": "319-224-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONDS",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "117818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.