Individual provider Active NPI

Antonia Tarrie West

  • Massage Therapist
  • Louisville, KY
National Provider Identifier
1508424086
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
172714 Issued in KY
Practice address
4041 Preston Hwy Ste 6
Louisville, KY 40213-1601
Phone
(502) 272-4700
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 172714 KY Primary

Addresses

Primary practice location

4041 Preston Hwy Ste 6
Louisville, KY 40213-1601

Mailing address

6796 Brooklawn Dr
Louisville, KY 40214-3141
Phone (502) 915-3333

Other practice location 1

6796 Brooklawn Dr
Louisville, KY 40214-3141
Phone (502) 915-3333

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
172714KYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1508424086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6796 BROOKLAWN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143141",
            "telephone_number": "502-915-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 PRESTON HWY STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131601",
            "telephone_number": "502-272-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6796 Brooklawn Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402143141",
            "country_code": "US",
            "telephone_number": "502-915-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANTONIA",
        "middle_name": "TARRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "172714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.