Active NPI
Tracy Stewart, MT
- Massage Therapist
- Greeley, CO
National Provider Identifier
1275277709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- .0024752
- Practice address
- 3820 W 10TH St
Greeley, CO 80634-1552 - Phone
- (970) 978-4392
- NPI assigned
- Apr 21, 2022
- 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 | .0024752 | CO | Primary |
Addresses
Primary practice location
3820 W 10TH St
Greeley, CO 80634-1552
Mailing address
3820 W 10TH St
Greeley, CO 80634-1552
Phone (970) 978-4392
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Greeley |
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .0024752 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1275277709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 W 10TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806341552",
"telephone_number": "970-978-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 W 10TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806341552",
"telephone_number": "970-978-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "TRACY",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": ".0024752",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Greeley",
"affiliation": "N",
"address_1": "3820 W 10th St",
"city": "Greeley",
"state": "CO",
"country_code": "US",
"postal_code": "806341552",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Apr 21, 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.