Individual provider Active NPI

Rhonda Entz

  • Massage Therapist
  • Pagosa Springs, CO
National Provider Identifier
1316357429
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0001963 Issued in CO
Practice address
190 Talisman Dr
#D7
Pagosa Springs, CO 81147-9171
Phone
(970) 507-0189
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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 0001963 CO Primary

Addresses

Primary practice location

190 Talisman Dr
#D7
Pagosa Springs, CO 81147-9171

Mailing address

152 Saturn Dr
Pagosa Springs, CO 81147-8820
Phone (719) 588-0293

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
0001963COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Connection, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1316357429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SATURN DR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478820",
            "telephone_number": "719-588-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 TALISMAN DR",
            "address_2": "#D7",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479171",
            "telephone_number": "970-507-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTZ",
        "first_name": "RHONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0001963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.