Active NPI
Tyler Breeding
- Massage Therapist
- Myrtle Beach, SC
National Provider Identifier
1548918006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS12731
- Practice address
- 4543 US 17 Bypass
S Unit
Myrtle Beach, SC 29577 - Phone
- (843) 267-6506
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- Sex
- Male
- 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 | MAS12731 | SC | Primary |
Addresses
Primary practice location
4543 US 17 Bypass
S Unit
Myrtle Beach, SC 29577
Mailing address
5018 Belleglen CT Apt 101
Myrtle Beach, SC 29579-6262
Phone (801) 529-2420
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 |
|---|---|---|---|
| MAS12731 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1548918006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5018 BELLEGLEN CT APT 101",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796262",
"telephone_number": "801-529-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4543 US 17 BYPASS",
"address_2": "S UNIT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29577",
"telephone_number": "843-267-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDING",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "MAS12731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.