Susan R Stockton, CNMT, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-218 Issued in ID

Practice address

575 E Parkcenter Blvd Ste 190
Boise, ID 83706-6773

Phone

(208) 407-7244

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1285665232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RED HORSE RIDGE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837163125",
            "telephone_number": "208-407-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E PARKCENTER BLVD STE 190",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066773",
            "telephone_number": "208-407-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "CNMT, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA44626",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT040994",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Augusta Stivers, MD
• Jillaine Dawn Stmichel, D.C.
• Jennifer Susan Stock, FNP
• Benjamin Stockton, MD
• Leah Gleaves Stockton, M.D.
• Christopher Allen Stockwell, D.C.
• Manfred Ross Stockwell, DC
• Scott E Stoddard, DDS
• Destinee Rose Stoeger, LMSW
• Brek David Stoker, AUD, CCC-A

• Massage Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.