Active NPI
Daniel Petitti
- Massage Therapist
- Boulder, CO
National Provider Identifier
1447927488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1800 30TH St Ste 219
Boulder, CO 80301-1026 - Phone
- (303) 888-5291
- NPI assigned
- Aug 26, 2021
- Sex
- Male
- 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 | CO | Primary |
Addresses
Primary practice location
1800 30TH St Ste 219
Boulder, CO 80301-1026
Mailing address
8832 Neil St
Thornton, CO 80260-4923
Phone (720) 335-8808
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Superior |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1447927488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8832 NEIL ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802604923",
"telephone_number": "720-335-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 30TH ST STE 219",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011026",
"telephone_number": "303-888-5291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETITTI",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Superior",
"affiliation": "N",
"address_1": "1800 30th St Ste 219",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803011026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.