Individual provider Active NPI

Madison Terhune

  • Massage Therapist
  • Flagstaff, AZ
National Provider Identifier
1336864883
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-28337 Issued in AZ
Practice address
2501 N 4TH St Ste 6
Flagstaff, AZ 86004-3700
Phone
(928) 224-9550
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-28337 AZ Primary
Massage Therapist 225700000X

Addresses

Primary practice location

2501 N 4TH St Ste 6
Flagstaff, AZ 86004-3700

Mailing address

811 N Humphreys St Ste a
Flagstaff, AZ 86001-3027
Phone (918) 630-0025

Other practice location 1

2717 N 4th St Ste 120
Flagstaff, AZ 86004-1813
Phone (928) 226-7191

Other practice location 2

1585 S Plaza Way Ste 150
Flagstaff, AZ 86001-7156
Phone (928) 226-1556

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-28337AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Voytek Inc Massage Therapist CurrentSince Oct 1, 2022 Accepting new patients
R.M. Dahl Chiropractic & Functional Medicine, Inc. Past Accepting new patients

Locations

1585 S Plaza Way
Ste 150
Flagstaff, AZ 86001
Phone (928) 226-1556

Organizations & group practices 2

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1336864883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N HUMPHREYS ST STE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013027",
            "telephone_number": "918-630-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 4TH ST STE 6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043700",
            "telephone_number": "928-224-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 N 4th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860041813",
            "country_code": "US",
            "telephone_number": "928-226-7191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 S Plaza Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860017156",
            "country_code": "US",
            "telephone_number": "928-226-1556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERHUNE",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-28337",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.