Active NPI
Embody Co-Op
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1487475414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- EMBODY CO-OP
- Practice address
- 2860 S Circle Dr Ste 250I
Colorado Springs, CO 80906-4113 - Phone
- (719) 505-5174
- NPI assigned
- Oct 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnathon Brandon Stakely, CMT
- Title
- Massage Therapist
- Phone
- (719) 505-5174
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
2860 S Circle Dr Ste 250I
Colorado Springs, CO 80906-4113
Mailing address
2860 S Circle Dr Ste 250I
Colorado Springs, CO 80906-4113
Phone (719) 505-5174
National Provider Directory
National Provider DirectoryLocations
2860 S Circle Dr
Ste 250I
Colorado Springs, CO 80906
Phone (719) 428-7020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Colorado Springs, CO
- NPI 1891473286
-
- Massage Therapist
- Colorado Springs, CO
- NPI 1720767809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1487475414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 S CIRCLE DR STE 250I",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064113",
"telephone_number": "719-505-5174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 S CIRCLE DR STE 250I",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064113",
"telephone_number": "719-505-5174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBODY CO-OP",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "STAKELY",
"authorized_official_first_name": "JOHNATHON",
"authorized_official_middle_name": "BRANDON",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "719-505-5174",
"authorized_official_credential": "CMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.