NPIMap

Organization Active NPI

Evolve Massage LLC

  • Massage Therapist
  • Sun Prairie, WI
National Provider Identifier
1447867346
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
EVOLVE MASSAGE LLC
Practice address
1777 W Main St Ste 106
Sun Prairie, WI 53590-3100
Phone
(608) 478-5762
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Steven Hammond, LMTNPI 1386243541
Title
Owner
Phone
(608) 478-5762

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 Primary

Addresses

Primary practice location

1777 W Main St Ste 106
Sun Prairie, WI 53590-3100

Mailing address

1777 W Main St Ste 106
Sun Prairie, WI 53590-3100
Phone (608) 478-5762

National Provider Directory

National Provider Directory

Locations

1777 W Main St
Ste 106
Sun Prairie, WI 53590
Phone (608) 478-5762

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1447867346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 106",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-478-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 106",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-478-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-478-5762",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.