Individual provider Active NPI

Karen M Witthoeft

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1376042614
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
127584 Issued in AK
Practice address
445 W 9TH Ave
Anchorage, AK 99501-3519
Phone
(907) 770-6655
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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 127584 AK Primary

Addresses

Primary practice location

445 W 9TH Ave
Anchorage, AK 99501-3519

Mailing address

3927 Reflection Dr
Anchorage, AK 99504-4385
Phone (907) 602-3137

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
127584AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tikishla Medical Massage CurrentSince Jun 25, 2023 Accepting new patients
The Cottage, Women & Wellness, LLC PastSince Jan 26, 2020 Accepting new patients
Heirloom Wellness & Birth LLC Past Accepting new patients

Organizations & group practices 3

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1376042614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 REFLECTION DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044385",
            "telephone_number": "907-602-3137",
            "fax_number": "907-602-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013519",
            "telephone_number": "907-770-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTHOEFT",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "127584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.