Individual provider Active NPI

Tho Lam, LMT

  • Massage Therapist
  • Philadelphia, PA
National Provider Identifier
1467108696
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG013816 Issued in PA
Practice address
1740 South St Ste 503
Philadelphia, PA 19146-1572
Phone
(267) 707-8787
NPI assigned
Feb 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG013816 PA Primary

Addresses

Primary practice location

1740 South St Ste 503
Philadelphia, PA 19146-1572

Mailing address

1740 South St Ste 503
Philadelphia, PA 19146-1572
Phone (267) 707-8787

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.acuforus.com

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

LicenseStateTypeSpecialty
MSG013816PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Mind-Body Acupuncture, LLC Massage Therapist CurrentSince Feb 27, 2022 Accepting new patients

Locations

1740 South St
Ste 503
Philadelphia, PA 19146
Phone (215) 430-3309

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1467108696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST STE 503",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461572",
            "telephone_number": "267-707-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST STE 503",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461572",
            "telephone_number": "267-707-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "THO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG013816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.acuforus.com",
            "affiliation": "N",
            "endpointDescription": "my practice location",
            "address_1": "1740 South St Ste 503",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191461572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.