Individual provider Active NPI

Tami Kristina Roske, LMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1588428346
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0024109 Issued in CO
Practice address
3707 Parkmoor Village Dr Ste 104
Colorado Springs, CO 80917-5203
Phone
(719) 377-1661
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 MT0024109 CO Primary

Addresses

Primary practice location

3707 Parkmoor Village Dr Ste 104
Colorado Springs, CO 80917-5203

Mailing address

2159 Anthem PL
Fountain, CO 80817-4719
Phone (719) 377-1661

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

LicenseStateTypeSpecialty
MT0024109COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1588428346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 ANTHEM PL",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174719",
            "telephone_number": "719-377-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 PARKMOOR VILLAGE DR STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175203",
            "telephone_number": "719-377-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKE",
        "first_name": "TAMI",
        "middle_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0024109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.