Active NPI
Trevor Houghton
- Massage Therapist
- Greeley, CO
National Provider Identifier
1346645553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0015157
- Practice address
- 3705 W 12TH St
Greeley, CO 80634-2551 - Phone
- (970) 373-4475
- NPI assigned
- Oct 30, 2014
- Last updated
- Oct 30, 2014
- 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 | MT.0015157 | CO | Primary |
Addresses
Primary practice location
3705 W 12TH St
Greeley, CO 80634-2551
Mailing address
2630 12TH Ave
Greeley, CO 80631-8302
Phone (719) 661-9600
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 |
|---|---|---|---|
| MT.0015157 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1346645553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 12TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806318302",
"telephone_number": "719-661-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 W 12TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342551",
"telephone_number": "970-373-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGHTON",
"first_name": "TREVOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-30",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0015157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.