Organization Active NPI

Twisted Oak Medical Massage LLC

  • Massage Therapist
  • Conway, SC
National Provider Identifier
1487420600
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
TWISTED OAK MEDICAL MASSAGE LLC
Practice address
1311 13TH Ave Unit F
Conway, SC 29526-3668
Phone
(843) 855-2322
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Alicia Roberts, LMTNPI 1124894399
Title
Owner
Phone
(843) 855-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1311 13TH Ave Unit F
Conway, SC 29526-3668

Mailing address

202 Cedar LN
Conway, SC 29527-6031
Phone (843) 855-2322

National Provider Directory

National Provider Directory

Locations

1311 13th Ave
Unit F
Conway, SC 29526
Phone (843) 855-2322

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1487420600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CEDAR LN",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295276031",
            "telephone_number": "843-855-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 13TH AVE UNIT F",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263668",
            "telephone_number": "843-855-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWISTED OAK MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-855-2322",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.