Active NPI
Marcella Alice Thompson
- Massage Therapist
- Louisville, KY
National Provider Identifier
1396371860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 248360
- Practice address
- 5516 Overbrook Woods PL Apt 103
Louisville, KY 40291-5436 - Phone
- (502) 356-2815
- NPI assigned
- Mar 17, 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 | 248360 | KY | Primary |
Addresses
Primary practice location
5516 Overbrook Woods PL Apt 103
Louisville, KY 40291-5436
Mailing address
5516 Overbrook Woods PL Apt 103
Louisville, KY 40291-5436
Phone (502) 356-2815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0157786384 | Other | KY | CBI -COMMUNITY BUSINESS IDENTIFIER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Louisville | Direct | |
| CONNECT URL | Louisville | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 248360 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1396371860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5516 OVERBROOK WOODS PL APT 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402915436",
"telephone_number": "502-356-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5516 OVERBROOK WOODS PL APT 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402915436",
"telephone_number": "502-356-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MARCELLA",
"middle_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "248360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBI -COMMUNITY BUSINESS IDENTIFIER",
"identifier": "0157786384",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Louisville",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5516 Overbrook Woods Pl Apt 103",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402915436",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Louisville",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5516 Overbrook Woods Pl Apt 103",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402915436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.