Active NPI
Veterans Medical Massage Vmmllc
- Preferred Provider Organization
- Saint Louis, MO
National Provider Identifier
1487426623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- VETERANS MEDICAL MASSAGE VMMLLC
- Practice address
- 5320 Bischoff Ave
Saint Louis, MO 63110-3122 - Phone
- (314) 504-2493
- NPI assigned
- Oct 23, 2023
- Organization subpart
- Yes
- Parent organization
- BACK-TO-WORK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Smith, LMT
- Title
- Owner/Manager
- Phone
- (314) 504-2493
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
5320 Bischoff Ave
Saint Louis, MO 63110-3122
Mailing address
5320 Bischoff Ave
Saint Louis, MO 63110-3122
Phone (314) 504-2493
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Saint Louis, MO
- NPI 1326450735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1487426623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 BISCHOFF AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103122",
"telephone_number": "314-504-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 BISCHOFF AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103122",
"telephone_number": "314-504-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS MEDICAL MASSAGE VMMLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BACK-TO-WORK",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "314-504-2493",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.