Active NPI
Patricia Geffre-Starr
- Massage Therapist
- Peoria, IL
National Provider Identifier
1336549427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227009527
- Practice address
- 3322 W Willow Knolls Dr
Peoria, IL 61614-8148 - Phone
- (309) 690-3322
- Fax
- (309) 690-3323
- NPI assigned
- Aug 26, 2014
- 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 | 227009527 | AZ | Primary |
Addresses
Primary practice location
3322 W Willow Knolls Dr
Peoria, IL 61614-8148
Mailing address
6516 S Adams St
Bartonville, IL 61607-2559
Phone (309) 338-3581
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 |
|---|---|---|---|
| 227009527 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1336549427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6516 S ADAMS ST",
"city": "BARTONVILLE",
"state": "IL",
"postal_code": "616072559",
"telephone_number": "309-338-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 W WILLOW KNOLLS DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148148",
"telephone_number": "309-690-3322",
"fax_number": "309-690-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEFFRE-STARR",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "227009527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.