Active NPI
Hayley Nicholas, LMT
- Massage Therapist
- Tucson, AZ
National Provider Identifier
1538429980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-08621
- Practice address
- 310 N Wilmot Rd
Suite 103
Tucson, AZ 85711-2618 - Phone
- (520) 551-3497
- NPI assigned
- May 19, 2012
- Last updated
- May 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 | MT-08621 | AZ | Primary |
Addresses
Primary practice location
310 N Wilmot Rd
Suite 103
Tucson, AZ 85711-2618
Mailing address
530 E Joan St
Tucson, AZ 85705-3330
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 |
|---|---|---|---|
| MT-08621 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raindance Healing Centers | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Performance Sports Therapy
- Rehabilitation Practitioner
- Tucson, AZ
- NPI 1902101025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337385600000",
"number": "1538429980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E JOAN ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857053330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N WILMOT RD",
"address_2": "SUITE 103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112618",
"telephone_number": "520-551-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "HAYLEY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-19",
"last_updated": "2012-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-08621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.