Active NPI
Linda Kay Treitler, RN, MMT
- Nurse Massage Therapist (NMT)
- Fayetteville, AR
National Provider Identifier
1417100454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- R32595
- Practice address
- 3232 N Northhills Blvd
Fayetteville, AR 72703-4005 - Phone
- (479) 587-1700
- Fax
- (479) 587-1633
- NPI assigned
- Nov 3, 2008
- Last updated
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R32595 | AR | |
| Nurse Massage Therapist (NMT) | 163WM1400X | R32595 | AR | Primary |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 2759 | AR | |
| Massage Therapist | 225700000X | 2759 | AR | |
| Reflexologist | 173C00000X | 2759 | AR |
Addresses
Primary practice location
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Mailing address
3022 Highway 45
Hindsville, AR 72738-9447
Phone (479) 587-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R32595 | Other | AR | NURSING LICENSE NUMBER |
| 2759 | Other | AR | MASTER MASSAGE THERAPIST LICENSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R32595 | AR | MD | Registered Nurse |
| 2759 | AR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1417100454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 HIGHWAY 45",
"city": "HINDSVILLE",
"state": "AR",
"postal_code": "727389447",
"telephone_number": "479-587-1700",
"fax_number": "479-587-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 N NORTHHILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034005",
"telephone_number": "479-587-1700",
"fax_number": "479-587-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREITLER",
"first_name": "LINDA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "RN, MMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R32595",
"primary": false
},
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "AR",
"license": "R32595",
"primary": true
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "AR",
"license": "2759",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "2759",
"primary": false
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "AR",
"license": "2759",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE NUMBER",
"identifier": "R32595",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER MASSAGE THERAPIST LICENSE",
"identifier": "2759",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.