Angela Nicole Redder, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0022820 Issued in CO

Practice address

113 5TH St
Windsor, CO 80550-5107

Phone

(970) 342-1881

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rocky Mountain Corrective Massage

  • Massage Therapist
  • Windsor, CO
  • NPI 1134750755
  NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1538777941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 HIAWATHA CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251840",
            "telephone_number": "970-214-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 5TH ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505107",
            "telephone_number": "970-342-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDER",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0022820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin V Raaz, PHD, CCC-SLP
• Radiant Resilience Consulting LLC.
• Briana Ragsdill, DPT
• Rebekah Ralph, CPM RM
• Keith A Rangel, M.D.
• Paulina Cecylia Redondo, RDN
• Kayla Dawn Reed-Baum, M.A. CCC-SLP
• Dana E Regalado
• Maria Shaune Regalado, DMD
• Misty Reid, AGACNP-BC, PMHNP-BC

• Massage Therapist in Windsor, CO
• Providers in Windsor, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.