Individual provider Active NPI

Joann Clinton, LMT

  • Massage Therapist
  • Phoenix, AZ
National Provider Identifier
1386047207
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
#MT-18314 Issued in AZ
Practice address
20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3110
Phone
(602) 730-2508
NPI assigned
Oct 6, 2014
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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 #MT-18314 AZ Primary

Addresses

Primary practice location

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3110

Mailing address

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3110
Phone (602) 730-2508

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
#MT-18314AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1386047207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E THOMAS RD",
            "address_2": "SUITE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123110",
            "telephone_number": "602-730-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E THOMAS RD",
            "address_2": "SUITE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123110",
            "telephone_number": "602-730-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "JOANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "#MT-18314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.