Individual provider Active NPI

Nikita Madison, LMT

  • Massage Therapist
  • Boise, ID
National Provider Identifier
1538020946
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-4339 Issued in ID
Practice address
420 W Main St Ste 206
Boise, ID 83702-7363
Phone
(208) 426-9200
Fax
(208) 426-9300
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 MAS-4339 ID Primary

Addresses

Primary practice location

420 W Main St Ste 206
Boise, ID 83702-7363

Mailing address

1101 1/2 W Wright St
Boise, ID 83705-5242
Phone (208) 426-9200

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
MAS-4339IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health Group PLLC CurrentSince Nov 30, 2025 Accepting new patients
Boi Bio Fit LLC Massage Therapist CurrentSince Nov 30, 2025 Accepting new patients

Locations

420 W Main St
Ste 206
Boise, ID 83702
Phone (208) 426-9200

1101 W Wright St
Boise, ID 83705
Phone (208) 571-2256

Organizations & group practices 2

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1538020946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 1/2 W WRIGHT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055242",
            "telephone_number": "208-426-9200",
            "fax_number": "208-426-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAIN ST STE 206",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027363",
            "telephone_number": "208-426-9200",
            "fax_number": "208-426-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "NIKITA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.