Individual provider Active NPI

Eric J Byrd, LMT, CMMT

  • Massage Therapist
  • Lexington, KY
National Provider Identifier
1427368323
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
KY-2031 Issued in KY
Practice address
366 Waller Ave
Ste 106
Lexington, KY 40504-2916
Phone
(859) 381-9503
Fax
(859) 309-1808
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X KY-2031 KY Primary
Massage Therapist 225700000X 526987-07 KY

Addresses

Primary practice location

366 Waller Ave
Ste 106
Lexington, KY 40504-2916

Mailing address

366 Waller Ave
Ste 106
Lexington, KY 40504-2916
Phone (859) 381-9503

Other identifiers 1

IdentifierTypeStateIssuer
526987-07OtherKYNCBTMB CERT

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
526987-07KYMDMassage Therapist
KY-2031KYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1427368323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 WALLER AVE",
            "address_2": "STE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042916",
            "telephone_number": "859-381-9503",
            "fax_number": "859-309-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 WALLER AVE",
            "address_2": "STE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042916",
            "telephone_number": "859-381-9503",
            "fax_number": "859-309-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LMT, CMMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "KY-2031",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "526987-07",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB CERT",
            "identifier": "526987-07",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.