Individual provider Active NPI

Cassandra Watkins

  • Massage Therapist
  • Lancaster, SC
National Provider Identifier
1477906527
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8255 Issued in SC
Practice address
1210 W Rebound Rd
303 Van Wyck SC 29744
Lancaster, SC 29720-0050
Phone
(803) 524-3267
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 8255 SC Primary

Addresses

Primary practice location

1210 W Rebound Rd
303 Van Wyck SC 29744
Lancaster, SC 29720-0050

Mailing address

1210 W Rebound Rd
PO Box 303 Van Wyck SC 29744
Lancaster, SC 29720-0050
Phone (803) 524-3267

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
8255SCMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1477906527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W REBOUND RD",
            "address_2": "PO BOX 303 VAN WYCK SC 29744",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200050",
            "telephone_number": "803-524-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W REBOUND RD",
            "address_2": "303 VAN WYCK SC 29744",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200050",
            "telephone_number": "803-524-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "8255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.