Individual provider Active NPI

Troy Eugene Hurtt, LMT

  • Massage Therapist
  • Granger, IN
National Provider Identifier
1326713009
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT21906772 Issued in IN
Practice address
418 W Cleveland Rd Ste B
Granger, IN 46530-5638
Phone
(574) 271-8424
Fax
(574) 271-8425
NPI assigned
Aug 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 MT21906772 IN Primary

Addresses

Primary practice location

418 W Cleveland Rd Ste B
Granger, IN 46530-5638

Mailing address

418 W Cleveland Rd Ste B
Granger, IN 46530-5638
Phone (574) 271-8424

Other practice location 1

576 N Oak Dr Ste B
Plymouth, IN 46563-1664
Phone (574) 271-8424

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
MT21906772INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Amico PT Inc CurrentSince Aug 15, 2021 Accepting new patients

Locations

418 W Cleveland Rd
Ste B
Granger, IN 46530
Phone (574) 271-8424

576 N Oak Dr
Ste B
Plymouth, IN 46563
Phone (574) 271-8424

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1326713009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W CLEVELAND RD STE B",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305638",
            "telephone_number": "574-271-8424",
            "fax_number": "574-271-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 W CLEVELAND RD STE B",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305638",
            "telephone_number": "574-271-8424",
            "fax_number": "574-271-8425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 N Oak Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465631664",
            "country_code": "US",
            "telephone_number": "574-271-8424",
            "fax_number": "574-271-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTT",
        "first_name": "TROY",
        "middle_name": "EUGENE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21906772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.