Active NPI
Colton Woody, LMT
- Massage Therapist
- Farmington, MO
National Provider Identifier
1518770940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2022035793
- Practice address
- 18 S Jackson St
Farmington, MO 63640-1860 - Phone
- (573) 210-2037
- NPI assigned
- Jan 29, 2025
- Sex
- Male
- 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 | 2022035793 | MO | Primary |
Addresses
Primary practice location
18 S Jackson St
Farmington, MO 63640-1860
Mailing address
301 Jefferson St Apt 22
Park Hills, MO 63601-2299
Other practice location 1
10 S Main St
Ste Genevieve, MO 63670-1628
Phone (573) 883-2557
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 |
|---|---|---|---|
| 2022035793 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1518770940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 JEFFERSON ST APT 22",
"city": "PARK HILLS",
"state": "MO",
"postal_code": "636012299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S JACKSON ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401860",
"telephone_number": "573-210-2037"
}
],
"practiceLocations": [
{
"address_1": "10 S Main St",
"address_purpose": "LOCATION",
"city": "Ste Genevieve",
"state": "MO",
"postal_code": "636701628",
"country_code": "US",
"telephone_number": "573-883-2557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODY",
"first_name": "COLTON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2022035793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.