Active NPI
Helen Goodrum, ROLFER, BCTMB
- Massage Therapist
- Prescott, AZ
National Provider Identifier
1396546131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-28434
- Practice address
- 143 N McCormick St Ste 101
Prescott, AZ 86301-2725 - Phone
- (510) 543-4994
- NPI assigned
- Mar 19, 2025
- 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 | MT-28434 | AZ | Primary |
Addresses
Primary practice location
143 N McCormick St Ste 101
Prescott, AZ 86301-2725
Mailing address
209 Jacob LN
Prescott, AZ 86303-8805
Phone (510) 543-4994
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 |
|---|---|---|---|
| MT-28434 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1396546131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 JACOB LN",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863038805",
"telephone_number": "510-543-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 N MCCORMICK ST STE 101",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012725",
"telephone_number": "510-543-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRUM",
"first_name": "HELEN",
"credential": "ROLFER, BCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-28434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.