Active NPI
Susan Marie Ball
- Massage Therapist
- Hayden, ID
National Provider Identifier
1548155997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7661770
- Practice address
- 1102 W Hayden Ave Ste a
Hayden, ID 83835-8700 - Phone
- (208) 620-7150
- Fax
- (208) 791-9109
- NPI assigned
- Jun 9, 2025
- Last updated
- Jun 9, 2025
- 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 | 7661770 | ID | Primary |
Addresses
Primary practice location
1102 W Hayden Ave Ste a
Hayden, ID 83835-8700
Mailing address
12920 N Railway Ave Apt 306
Rathdrum, ID 83858-1359
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 |
|---|---|---|---|
| 7661770 | ID | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1548155997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12920 N RAILWAY AVE APT 306",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838581359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W HAYDEN AVE STE A",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358700",
"telephone_number": "208-620-7150",
"fax_number": "208-791-9109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "SUSAN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "7661770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.