Active NPI
Ernest Prince Matthews II, LMT
- Massage Therapist
- Matthews, NC
National Provider Identifier
1447949565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1114 Sam Newell Rd
Matthews, NC 28105-5034 - Phone
- (618) 304-9282
- NPI assigned
- May 4, 2023
- Sex
- Male
- 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 | NC | Primary |
Addresses
Primary practice location
1114 Sam Newell Rd
Matthews, NC 28105-5034
Mailing address
11525 Ballantyne Green Dr Apt 1101
Charlotte, NC 28277-4873
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": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1447949565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 BALLANTYNE GREEN DR APT 1101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 SAM NEWELL RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055034",
"telephone_number": "618-304-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "ERNEST",
"middle_name": "PRINCE",
"name_suffix": "II",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.