Organization Active NPI

Body Movement Energy

  • Massage Therapist
  • Clarksburg, WV
National Provider Identifier
1407124209
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20112912 Issued in WV
Legal business name
BODY MOVEMENT ENERGY
Practice address
111 S 4TH St
Clarksburg, WV 26301-2801
Phone
(304) 566-4438
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Donetta Booth Watson, LMT
Title
WV Licensed Massage Therapist
Phone
(304) 203-3779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 20112912 WV Primary

Addresses

Primary practice location

111 S 4TH St
Clarksburg, WV 26301-2801

Mailing address

111 S 4TH St
Clarksburg, WV 26301-2801

National Provider Directory

National Provider Directory

Locations

111 S 4th St
Clarksburg, WV 26301
Phone (304) 566-4438

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1407124209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 4TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 4TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012801",
            "telephone_number": "304-566-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MOVEMENT ENERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DONETTA",
        "authorized_official_middle_name": "BOOTH",
        "authorized_official_title_or_position": "WV LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "304-203-3779",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "20112912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.