Active NPI
Charlton C Vass, L.M.T./N.M.T.
- Massage Therapist
- Harrogate, TN
National Provider Identifier
1477798809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1888
- Practice address
- 169 Westmoreland St
Harrogate, TN 37752-8202 - Phone
- (423) 869-3700
- Fax
- (423) 869-5555
- NPI assigned
- Dec 15, 2008
- 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 | 1888 | TN | Primary |
Addresses
Primary practice location
169 Westmoreland St
Harrogate, TN 37752-8202
Mailing address
169 Westmoreland St
Harrogate, TN 37752-8202
Phone (423) 869-3700
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 |
|---|---|---|---|
| 1888 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1477798809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 WESTMORELAND ST",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377528202",
"telephone_number": "423-869-3700",
"fax_number": "423-869-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 WESTMORELAND ST",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377528202",
"telephone_number": "423-869-3700",
"fax_number": "423-869-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASS",
"first_name": "CHARLTON",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "L.M.T./N.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "1888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrogate, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.