Active NPI
John William Bustle Jr., L.M.T.
- Massage Therapist
- Danville, KY
National Provider Identifier
1487971925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- KY-1021
- Practice address
- 1420 Hustonville Rd
Danville, KY 40422-2424 - Phone
- (859) 236-5562
- NPI assigned
- Apr 23, 2010
- 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 | KY-1021 | KY | Primary |
Addresses
Primary practice location
1420 Hustonville Rd
Danville, KY 40422-2424
Mailing address
137 1/2 N 3Rd St
Danville, KY 40422-1631
Phone (859) 936-1724
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 |
|---|---|---|---|
| KY-1021 | KY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Basics Chiropractic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Danville, KY
- NPI 1508043811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1487971925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 1/2 N 3RD ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221631",
"telephone_number": "859-936-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 HUSTONVILLE RD",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222424",
"telephone_number": "859-236-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTLE",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "KY-1021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.