Active NPI
Sara Beth Van Atta, LMT
- Massage Therapist
- Peoria, AZ
National Provider Identifier
1437479656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT10-385
- Practice address
- 8215 W Bell Rd
#130
Peoria, AZ 85382-3800 - Phone
- (602) 292-0141
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT10-385 | AZ | Primary |
Addresses
Primary practice location
8215 W Bell Rd
#130
Peoria, AZ 85382-3800
Mailing address
8215 W Bell Rd
#130
Peoria, AZ 85382
Phone (602) 292-0141
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT10-385 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1437479656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 W BELL RD",
"address_2": "#130",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85382",
"telephone_number": "602-292-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 W BELL RD",
"address_2": "#130",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823800",
"telephone_number": "602-292-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ATTA",
"first_name": "SARA",
"middle_name": "BETH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT10-385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
- Valley of the Sun Pediatrics, P.C.
- Valley Orthodontic Group/ Peoria P.L.L.C.
- Valley Pain Centers of Arizona, LLC
- Valley Rehabilitation Partners LLC
- Valley Rehabilitation, LTD.
- Susanna Gertruida Van Zyl, RN
- Michelle Alexandra Vana, SLP
- Lenore Janis Vandergriend
- Tara Eden Vanderpool, RDH
- Savannah Vandervort
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.