Organization Active NPI

Peace of Mind Massage Clinic ,LLC

  • Chiropractor
  • Anderson, SC
National Provider Identifier
1508132127
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3256 Issued in SC
Legal business name
PEACE OF MIND MASSAGE CLINIC ,LLC
Practice address
405 N Fant St
Anderson, SC 29621-5715
Phone
(864) 222-1748
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Ms. Kathie Gay Hamilton, MASSAGE THERAPTISTNPI 1225263742
Title
Clinic Director
Phone
(864) 222-1748

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3256 SC Primary

Addresses

Primary practice location

405 N Fant St
Anderson, SC 29621-5715

Mailing address

405 N Fant St
Anderson, SC 29621-5715
Phone (864) 222-1748

National Provider Directory

National Provider Directory

Locations

405 N Fant St
Anderson, SC 29621
Phone (864) 222-1748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1508132127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215715",
            "telephone_number": "864-222-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215715",
            "telephone_number": "864-222-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND MASSAGE CLINIC ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "864-222-1748",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASSAGE THERAPTIST"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.