Active NPI
Jennifer Marie Kvartek, LMT
- Massage Therapist
- Louisville, KY
National Provider Identifier
1306336045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 105873
- Practice address
- 2210 Goldsmith LN Ste 227
Louisville, KY 40218-1090 - Phone
- (443) 614-4355
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 105873 | KY | Primary |
Addresses
Primary practice location
2210 Goldsmith LN Ste 227
Louisville, KY 40218-1090
Mailing address
112 Woodlawn SPGS
Bardstown, KY 40004-9160
Phone (443) 614-4355
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 |
|---|---|---|---|
| 105873 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1306336045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WOODLAWN SPGS",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400049160",
"telephone_number": "443-614-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 GOLDSMITH LN STE 227",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181090",
"telephone_number": "443-614-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVARTEK",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "105873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.