Individual provider Active NPI

Valedear Highsmith, NCTMB

  • Massage Therapist
  • Willow Grove, PA
National Provider Identifier
1548589260
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
1001 Easton Rd
Suite M200
Willow Grove, PA 19090-2028
Phone
(215) 776-0518
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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 Primary

Addresses

Primary practice location

1001 Easton Rd
Suite M200
Willow Grove, PA 19090-2028

Mailing address

1829 Guernsey Ave
Abington, PA 19001-3805
Phone (215) 776-0518

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

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1548589260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 GUERNSEY AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013805",
            "telephone_number": "215-776-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EASTON RD",
            "address_2": "SUITE M200",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902028",
            "telephone_number": "215-776-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHSMITH",
        "first_name": "VALEDEAR",
        "name_prefix": "Mr.",
        "credential": "NCTMB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.