Active NPI
Tifanie Daniels, MASSAGE THERAPIST
- Massage Therapist
- Dothan, AL
National Provider Identifier
1508341892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3879
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3879 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.