Bluegrass Massage Theraputics

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

KY2052 Issued in KY

Legal business name

BLUEGRASS MASSAGE THERAPUTICS

Practice address

365 East Broadway Suite 2
Brandenburg, KY 40108

Phone

(270) 422-3694

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Leigh Poff, LMT

Title

Massage Therapist

Phone

(270) 422-3694

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Leigh Blevins, NCBTM

  • Massage Therapist
  • Brandenburg, KY
  • NPI 1568696763
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1427240704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 EAST BROADWAY SUITE 2",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "40108",
            "telephone_number": "270-422-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 EAST BROADWAY SUITE 2",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "40108",
            "telephone_number": "270-422-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS MASSAGE THERAPUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "POFF",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "270-422-3694",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "KY2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashutosh S Barde, PHARMACIST
• Roger Lee Behrman, PT, DPT
• Trisha Daniele Bender
• Melissa G Bland, CCC/SLP
• Nicole Leigh Blevins, NCBTM
• Jeanetta Lee Bosley, MD
• Brandenburg Chiropractic Inc.
• Brandenburg Custom Meds LLC
• Brandenburg Family Dentistry
• Brandenburg Health Facilities LP

• All providers in Brandenburg, KY
• Physical Therapy Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.