Active NPI
Timeless Innergy
- Massage Therapist
- Mint Hill, NC
National Provider Identifier
1447548516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11113
- Legal business name
- TIMELESS INNERGY
- Practice address
- 4614 Wilgrove Mint Hill Rd
Suite C-11
Mint Hill, NC 28227-3500 - Phone
- (704) 681-7671
- Fax
- (704) 681-7671
- NPI assigned
- Jul 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Foxyrae Campbell, LMBT
- Title
- Owner/Neuromuscular Therapist
- Phone
- (704) 681-7671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11113 | NC | Primary |
Addresses
Primary practice location
4614 Wilgrove Mint Hill Rd
Suite C-11
Mint Hill, NC 28227-3500
Mailing address
13809 Summit Commons Blvd Apt R
Charlotte, NC 28277-0439
Phone (704) 681-7671
National Provider Directory
National Provider DirectoryLocations
4614 Wilgrove Mint Hill Rd
Ste C11
Mint Hill, NC 28227
Phone (704) 681-7671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310342400000",
"number": "1447548516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13809 SUMMIT COMMONS BLVD APT R",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770439",
"telephone_number": "704-681-7671",
"fax_number": "704-681-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 WILGROVE MINT HILL RD",
"address_2": "SUITE C-11",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282273500",
"telephone_number": "704-681-7671",
"fax_number": "704-681-7671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMELESS INNERGY",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-11",
"last_updated": "2011-07-11",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "FOXYRAE",
"authorized_official_title_or_position": "OWNER/NEUROMUSCULAR THERAPIST",
"authorized_official_telephone_number": "704-681-7671",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMBT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NC",
"license": "11113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.