Active NPI
Matthew Razo
- Massage Therapist
- Avon, CO
National Provider Identifier
1346750759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0011190
- Practice address
- 41184 Highway 6 Unit 210
Avon, CO 81620-5577 - Phone
- (563) 528-0529
- NPI assigned
- Oct 11, 2017
- Last updated
- May 11, 2021
- 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 | 0011190 | CO | Primary |
Addresses
Primary practice location
41184 Highway 6 Unit 210
Avon, CO 81620-5577
Mailing address
PO Box 4561
Eagle, CO 81631-4561
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 |
|---|---|---|---|
| 0011190 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1346750759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4561",
"city": "EAGLE",
"state": "CO",
"postal_code": "816314561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41184 HIGHWAY 6 UNIT 210",
"city": "AVON",
"state": "CO",
"postal_code": "816205577",
"telephone_number": "563-528-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZO",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0011190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.