Integrative Massage Concepts of Charlotte,Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMBT#4478 Issued in NC

Legal business name

INTEGRATIVE MASSAGE CONCEPTS OF CHARLOTTE,INC

Practice address

6747 Fairview Rd
Suite D
Charlotte, NC 28210-3354

Phone

(704) 904-1462

Fax

(704) 364-4377

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothea Weinschuetz, BCTMB,LMBT#4478,CLT

Title

President

Phone

(704) 904-1462

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1265803191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 FAIRVIEW RD",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103354",
            "telephone_number": "704-904-1462",
            "fax_number": "704-364-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6747 FAIRVIEW RD",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103354",
            "telephone_number": "704-904-1462",
            "fax_number": "704-364-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MASSAGE CONCEPTS OF CHARLOTTE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "WEINSCHUETZ",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-904-1462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCTMB,LMBT#4478,CLT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "NC",
            "license": "LMBT#4478",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "LMBT#4478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.