Individual provider Active NPI

Whitney Rud, LMT

  • Massage Therapist
  • Post Falls, ID
National Provider Identifier
1417322975
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-2725 Issued in ID
Practice address
1624 E Seltice Way
Post Falls, ID 83854-7022
Phone
(208) 777-0128
Fax
(208) 773-9600
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAS-2725 ID Primary

Addresses

Primary practice location

1624 E Seltice Way
Post Falls, ID 83854-7022

Mailing address

1624 E Seltice Way
Post Falls, ID 83854-7022
Phone (208) 777-0128

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
MAS-2725IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardison-Walz PC PastSince Jun 8, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1417322975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-777-0128",
            "fax_number": "208-773-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-777-0128",
            "fax_number": "208-773-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUD",
        "first_name": "WHITNEY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.