Active NPI
Renee C Deichman, LMT
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1437779485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT0005992
- Practice address
- 3055 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5748 - Phone
- (719) 266-8884
- NPI assigned
- Apr 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 | MT0005992 | CO | Primary |
Addresses
Primary practice location
3055 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5748
Mailing address
9335 Wolf Pack Ter
Colorado SPGS, CO 80920-7676
Phone (719) 330-5628
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 |
|---|---|---|---|
| MT0005992 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1437779485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9335 WOLF PACK TER",
"city": "COLORADO SPGS",
"state": "CO",
"postal_code": "809207676",
"telephone_number": "719-330-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809185748",
"telephone_number": "719-266-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEICHMAN",
"first_name": "RENEE",
"middle_name": "C",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT0005992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.