To the Roots Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0008026 Issued in CO

Legal business name

TO THE ROOTS WELLNESS

Practice address

26291 Main St
Conifer, CO 80433-8500

Phone

(303) 838-0990

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Willow Geneva Ann Roberts, M.S.NPI 1972901874

Title

Massage Therapist

Phone

(303) 838-7294

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willow Geneva Ann Roberts, M.T.

  • Massage Therapist
  • Conifer, CO
  • NPI 1972901874
  NPD (past) Authorized official

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1306238928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 HIDDEN VALLEY BLVD",
            "city": "PINE",
            "state": "CO",
            "postal_code": "804707989",
            "telephone_number": "303-838-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26291 MAIN ST",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804338500",
            "telephone_number": "303-838-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO THE ROOTS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "WILLOW",
        "authorized_official_middle_name": "GENEVA ANN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "303-838-7294",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0008026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Mosaic LLC
• Therapy Mosaic LLC
• Erica Thomason, OTR
• Anna Thorson, DPT, PT
• Mary Thuente, MSPT
• Terence A Trinka I, O.D. CN
• Carol Anne Turner, M.D.
• Amber Lane Van Treeck, MA, LPC
• Alyssa Vankeulen, DPT
• Tracy Vermillion-Horn

• All providers in Conifer, CO
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.