Individual provider Active NPI

Sally Bliss Hollon, LMT, NMT, RYT

  • Massage Therapist
  • Fairhope, AL
National Provider Identifier
1366059537
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Sep 30, 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 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

IdentifierTypeStateIssuer
282499-00OtherNCBTMB

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.