Active NPI
Karla Prosperi, LMT
- Massage Therapist
- Johnston, IA
National Provider Identifier
1558709667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 006128
- Practice address
- 6165 NW 86TH St
Johnston, IA 50131-2270 - Phone
- (515) 505-0689
- NPI assigned
- Jun 11, 2013
- 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 | 006128 | IA | Primary |
Addresses
Primary practice location
6165 NW 86TH St
Johnston, IA 50131-2270
Mailing address
4069 Kingman Blvd
Des Moines, IA 50311-3515
Phone (515) 505-0689
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 |
|---|---|---|---|
| 006128 | IA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1558709667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4069 KINGMAN BLVD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503113515",
"telephone_number": "515-505-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6165 NW 86TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312270",
"telephone_number": "515-505-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSPERI",
"first_name": "KARLA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IA",
"license": "006128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.