Active NPI
Michele Atkinson, LMT
- Massage Therapist
- Meridian, ID
National Provider Identifier
1265822001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASG473
- Practice address
- 2960 S. Eagle Rd
Suite 100
Meridian, ID 83642 - Phone
- (208) 898-1468
- Fax
- (208) 898-1505
- NPI assigned
- Feb 2, 2015
- Last updated
- Feb 2, 2015
- 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 | MASG473 | ID | Primary |
Addresses
Primary practice location
2960 S. Eagle Rd
Suite 100
Meridian, ID 83642
Mailing address
5909 W. State St.
Boise, ID 83703
Phone (208) 343-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MASG-473 | Other | ID | LICENSE |
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 |
|---|---|---|---|
| MASG473 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy 180 LLC | Past | Accepting new patients | |
| Peregrine Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1265822001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 W. STATE ST.",
"city": "BOISE",
"state": "ID",
"postal_code": "83703",
"telephone_number": "208-343-7700",
"fax_number": "208-331-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 S. EAGLE RD",
"address_2": "SUITE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-898-1468",
"fax_number": "208-898-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "MICHELE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MASG473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MASG-473",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.