Individual provider Active NPI

Nicholas R Rhodes, L.M.T

  • Massage Therapist
  • Memphis, MO
National Provider Identifier
1306139027
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2006007834 Issued in MO
Practice address
429 W Madison St
Memphis, MO 63555-1054
Phone
(660) 465-2631
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
Yes

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
2006007834MOMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2006007834 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

429 W Madison St
Memphis, MO 63555-1054

Mailing address

429 W Madison St
Memphis, MO 63555-1054
Phone (660) 465-2631

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2011.

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1306139027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W MADISON ST",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551054",
            "telephone_number": "660-465-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W MADISON ST",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551054",
            "telephone_number": "660-465-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2006007834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.