Individual provider Active NPI

Angela Romine, MASSAGE THERAPIST

  • Massage Therapist
  • Springfield, MO
National Provider Identifier
1275240533
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2012013868 Issued in MO
Practice address
1736 E Sunshine St Ste 707
Springfield, MO 65804-1333
Phone
(417) 719-5049
NPI assigned
Nov 4, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2012013868 MO Primary

Addresses

Primary practice location

1736 E Sunshine St Ste 707
Springfield, MO 65804-1333

Mailing address

1736 E Sunshine St Ste 707
Springfield, MO 65804-1333
Phone (417) 719-5049

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
2012013868MOMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1275240533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST STE 707",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041333",
            "telephone_number": "417-719-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST STE 707",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041333",
            "telephone_number": "417-719-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMINE",
        "first_name": "ANGELA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2012013868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.