Individual provider Active NPI

Matt Vola, LMT

  • Massage Therapist
  • Des Moines, IA
National Provider Identifier
1346511706
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
004684 Issued in IA
Practice address
8421 University Blvd
Suite a
Des Moines, IA 50325-1036
Phone
(515) 222-1577
NPI assigned
Jan 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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 004684 IA Primary

Addresses

Primary practice location

8421 University Blvd
Suite a
Des Moines, IA 50325-1036

Mailing address

8421 University Blvd
Suite a
Des Moines, IA 50325-1036
Phone (515) 222-1577

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
004684IAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1346511706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 UNIVERSITY BLVD",
            "address_2": "SUITE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503251036",
            "telephone_number": "515-222-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 UNIVERSITY BLVD",
            "address_2": "SUITE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503251036",
            "telephone_number": "515-222-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLA",
        "first_name": "MATT",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "004684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.