Active NPI
Sally Bliss Hollon, LMT, NMT, RYT
- Massage Therapist
- Fairhope, AL
National Provider Identifier
1366059537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 282499-00
- Practice address
- 557 N Mobile St
Fairhope, AL 36532-2609 - Phone
- (404) 822-4469
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- 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 | 282499-00 | Primary |
Addresses
Primary practice location
557 N Mobile St
Fairhope, AL 36532-2609
Mailing address
11568 Branchwood Dr
Fairhope, AL 36532-4902
Other practice location 1
11568 Branchwood Dr
Fairhope, AL 36532-4902
Phone (404) 822-4469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282499-00 | Other | NCBTMB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.facebook.com/blissfulwellnessoasis |
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": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1366059537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11568 BRANCHWOOD DR",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365324902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N MOBILE ST",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322609",
"telephone_number": "404-822-4469"
}
],
"practiceLocations": [
{
"address_1": "11568 Branchwood Dr",
"address_purpose": "LOCATION",
"city": "Fairhope",
"state": "AL",
"postal_code": "365324902",
"country_code": "US",
"telephone_number": "404-822-4469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLON",
"first_name": "SALLY",
"middle_name": "BLISS",
"credential": "LMT, NMT, RYT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "282499-00",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBTMB",
"identifier": "282499-00",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.facebook.com/blissfulwellnessoasis",
"affiliation": "N",
"address_1": "11568 Branchwood Dr",
"city": "Fairhope",
"state": "AL",
"country_code": "US",
"postal_code": "365324902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.