Individual provider Active NPI

Stephanie M Dixon, LMT

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1306403506
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-08983 Issued in AZ
Practice address
5431 N Oracle Rd Ste 104a
Tucson, AZ 85704-0012
Phone
(520) 548-5379
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-08983 AZ Primary

Addresses

Primary practice location

5431 N Oracle Rd Ste 104a
Tucson, AZ 85704-0012

Mailing address

2550 N Stewart Ave
Tucson, AZ 85716-2425
Phone (520) 548-5379

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steph@adaptivemassagetucson.com Direct

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
MT-08983AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1306403506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N STEWART AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162425",
            "telephone_number": "520-548-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 N ORACLE RD STE 104A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857040012",
            "telephone_number": "520-548-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-08983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steph@adaptivemassagetucson.com",
            "affiliation": "N",
            "endpointDescription": "Secure email address specifically for work.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5431 N Oracle Rd Ste 104A",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857040012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.