Active NPI
Richmond Bohler Terry III, L. M. T.
- Massage Therapist
- Auburn, AL
National Provider Identifier
1497076244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3062
- Practice address
- 118 N Ross St
Suite 4
Auburn, AL 36830-4857 - Phone
- (334) 826-3842
- NPI assigned
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 3062 | AL | Primary |
Addresses
Primary practice location
118 N Ross St
Suite 4
Auburn, AL 36830-4857
Mailing address
1911 Moores Mill Dr
Lanett, AL 36863-2165
Phone (423) 316-3665
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 |
|---|---|---|---|
| 3062 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1497076244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 MOORES MILL DR",
"city": "LANETT",
"state": "AL",
"postal_code": "368632165",
"telephone_number": "423-316-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N ROSS ST",
"address_2": "SUITE 4",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304857",
"telephone_number": "334-826-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "RICHMOND",
"middle_name": "BOHLER",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "L. M. T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": "3062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.