Active NPI
Anthony Joe Roffine, M.M.T.
- Massage Therapist
- Fort Smith, AR
National Provider Identifier
1346561693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1470
- Practice address
- 6108 S 31St St
Fort Smith, AR 72908-7555 - Phone
- (479) 648-1107
- Fax
- (479) 646-0416
- NPI assigned
- Jun 21, 2010
- Sex
- Male
- 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 | 1470 | AR | Primary |
Addresses
Primary practice location
6108 S 31St St
Fort Smith, AR 72908-7555
Mailing address
6108 S 31St St
Fort Smith, AR 72908-7555
Phone (479) 648-1107
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1346561693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6108 S 31ST ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729087555",
"telephone_number": "479-648-1107",
"fax_number": "479-646-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6108 S 31ST ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729087555",
"telephone_number": "479-648-1107",
"fax_number": "479-646-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROFFINE",
"first_name": "ANTHONY",
"middle_name": "JOE",
"credential": "M.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "1470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.