Individual provider Active NPI

Tifanie Daniels, MASSAGE THERAPIST

  • Massage Therapist
  • Dothan, AL
National Provider Identifier
1508341892
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3879 Issued in AL
Practice address
1558 Montgomery Hwy Ste 7
Dothan, AL 36303-3300
Phone
(334) 439-0262
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 3879 AL Primary

Addresses

Primary practice location

1558 Montgomery Hwy Ste 7
Dothan, AL 36303-3300

Mailing address

104 Kensington CT
Dothan, AL 36303-9348
Phone (334) 435-0471

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dothanamassageschool@gmail.com

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

LicenseStateTypeSpecialty
3879ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dothan Massage School Single Specialty Current Accepting new patients

Locations

1558 Montgomery Hwy
Ste 7
Dothan, AL 36303
Phone (334) 439-0262

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.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1508341892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KENSINGTON CT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039348",
            "telephone_number": "334-435-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 MONTGOMERY HWY STE 7",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033300",
            "telephone_number": "334-439-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "TIFANIE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dothanamassageschool@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1558 Montgomery Hwy Ste 7",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363033300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.