Active NPI
Sheryl Elaine Joel, CRMT
- Massage Therapist
- Boulder, CO
National Provider Identifier
1326278672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1762
- Practice address
- 4801 Riverbend Rd
Boulder, CO 80301-2613 - Phone
- (303) 440-6622
- Fax
- (303) 440-6623
- NPI assigned
- Jul 21, 2009
- 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 | 1762 | CO | Primary |
Addresses
Primary practice location
4801 Riverbend Rd
Boulder, CO 80301-2613
Mailing address
103 Placer Ave
Longmont, CO 80504-1231
Phone (720) 635-7075
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 |
|---|---|---|---|
| 1762 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1326278672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PLACER AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805041231",
"telephone_number": "720-635-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 RIVERBEND RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012613",
"telephone_number": "303-440-6622",
"fax_number": "303-440-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOEL",
"first_name": "SHERYL",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "CRMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "1762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.