Individual provider Active NPI

Kym Walther-Moyer, LMT

  • Massage Therapist
  • Skippack, PA
National Provider Identifier
1366057317
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG012376 Issued in PA
Practice address
1246 Collegeville Rd
Skippack, PA 19474-1947
Phone
(610) 584-2439
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 MSG012376 PA Primary

Addresses

Primary practice location

1246 Collegeville Rd
Skippack, PA 19474-1947

Mailing address

642 Hildebrandt Rd
Perkiomenville, PA 18074-9340
Phone (610) 754-0044

Other practice location 1

642 Hildebrandt Rd
Perkiomenville, PA 18074-9340
Phone (215) 470-1083

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Perkiomenville Direct

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
MSG012376PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Be Well LLC Massage Therapist PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1366057317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 HILDEBRANDT RD",
            "city": "PERKIOMENVILLE",
            "state": "PA",
            "postal_code": "180749340",
            "telephone_number": "610-754-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 COLLEGEVILLE RD",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194741947",
            "telephone_number": "610-584-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 Hildebrandt Rd",
            "address_purpose": "LOCATION",
            "city": "Perkiomenville",
            "state": "PA",
            "postal_code": "180749340",
            "country_code": "US",
            "telephone_number": "215-470-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTHER-MOYER",
        "first_name": "KYM",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG012376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Perkiomenville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "642 Hildebrandt Rd",
            "city": "Perkiomenville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180749340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skippack, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.