Individual provider Active NPI

Violet Harrigan

  • Massage Therapist
  • St Simons Island, GA
National Provider Identifier
1386093532
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT005146 Issued in GA
Practice address
4 Retreat PL
St Simons Island, GA 31522-2401
Phone
(912) 809-1585
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT005146 GA
Massage Therapist 225700000X MT005146 GA Primary

Addresses

Primary practice location

4 Retreat PL
St Simons Island, GA 31522-2401

Mailing address

4 Retreat PL
St Simons Island, GA 31522-2401
Phone (912) 809-1585

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
MT005146GAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1386093532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RETREAT PL",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222401",
            "telephone_number": "912-809-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RETREAT PL",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222401",
            "telephone_number": "912-809-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIGAN",
        "first_name": "VIOLET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT005146",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT005146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.