NPIMap

Organization Active NPI

Standley Lake Massage Therapy, Inc.

  • Massage Therapist
  • Arvada, CO
National Provider Identifier
1437212925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
STANDLEY LAKE MASSAGE THERAPY, INC.
Practice address
8725 Wadsworth Blvd
Suite a
Arvada, CO 80003-0928
Phone
(303) 425-7298
Fax
(303) 940-8330
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathryn Anne Stewart, CMTNPI 1922177021
Title
Center Director
Phone
(303) 425-7298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8725 Wadsworth Blvd
Suite a
Arvada, CO 80003-0928

Mailing address

8725 Wadsworth Blvd
Suite a
Arvada, CO 80003-0928
Phone (303) 425-7298

National Provider Directory

National Provider Directory
Tax ID family
Standley Lake Massage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437212925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 WADSWORTH BLVD",
            "address_2": "SUITE A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030928",
            "telephone_number": "303-425-7298",
            "fax_number": "303-940-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 WADSWORTH BLVD",
            "address_2": "SUITE A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030928",
            "telephone_number": "303-425-7298",
            "fax_number": "303-940-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDLEY LAKE MASSAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "303-425-7298",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.