Active NPI
Angela McKinley
- Massage Therapist
- Arvada, CO
National Provider Identifier
1275300030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0019032
- Practice address
- 12380 W 64TH Ave
Arvada, CO 80004-4016 - Phone
- (303) 467-5337
- Fax
- (303) 467-1131
- NPI assigned
- Dec 11, 2023
- 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 | MT.0019032 | CO | Primary |
Addresses
Primary practice location
12380 W 64TH Ave
Arvada, CO 80004-4016
Mailing address
12213 W 71St Ave
Arvada, CO 80004-1205
Phone (530) 786-3405
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 |
|---|---|---|---|
| MT.0019032 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calm Spirit Integrative Wellness Inc. | Current | Accepting new patients |
Locations
12380 W 64th Ave
Arvada, CO 80004
Phone (303) 421-7000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Arvada, CO
- NPI 1245272673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1275300030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12213 W 71ST AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800041205",
"telephone_number": "530-786-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12380 W 64TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800044016",
"telephone_number": "303-467-5337",
"fax_number": "303-467-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0019032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.