Indy Massage Company

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

INDY MASSAGE COMPANY

Practice address

4735 Statesmen Dr Ste D
Indianapolis, IN 46250-5647

Phone

(317) 721-3189

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Miss Allison Nicole Padrick, MT

Title

Owner/Massage Therapist

Phone

(317) 910-9354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1265960439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 STATESMEN DR STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505647",
            "telephone_number": "317-721-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 STATESMEN DR STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505647",
            "telephone_number": "317-721-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY MASSAGE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "PADRICK",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "317-910-9354",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• State or Local Public Health Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• State or Local Public Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.