Active NPI
Melissa R Lee
- Massage Therapist
- Myrtle Beach, SC
National Provider Identifier
1457031197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6732
- Practice address
- 2742 Eton St
Myrtle Beach, SC 29579-6714 - Phone
- (843) 685-0346
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- 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 | 6732 | SC | Primary |
Addresses
Primary practice location
2742 Eton St
Myrtle Beach, SC 29579-6714
Mailing address
2742 Eton St
Myrtle Beach, SC 29579-6714
Phone (843) 685-0346
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 |
|---|---|---|---|
| 6732 | SC | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1457031197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2742 ETON ST",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796714",
"telephone_number": "843-685-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2742 ETON ST",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796714",
"telephone_number": "843-685-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MELISSA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "SC",
"license": "6732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.