Active NPI
Katina Marie Brow, LMT
- Massage Therapist
- Greeley, CO
National Provider Identifier
1275203937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0023004
- Practice address
- 1011 37TH Avenue CT Unit 101a
Greeley, CO 80634-2553 - Phone
- (970) 614-4218
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 0023004 | CO | Primary |
Addresses
Primary practice location
1011 37TH Avenue CT Unit 101a
Greeley, CO 80634-2553
Mailing address
1419 29TH Avenue CT
Greeley, CO 80634-6319
Phone (970) 342-5815
Other names 1
- Katina M Bohanan
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 |
|---|---|---|---|
| 0023004 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1275203937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 29TH AVENUE CT",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346319",
"telephone_number": "970-342-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 37TH AVENUE CT UNIT 101A",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342553",
"telephone_number": "970-614-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROW",
"first_name": "KATINA",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0023004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATINA",
"last_name": "BOHANAN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.