Active NPI
Denise Regina Kalin, L.M.T.
- Massage Therapist
- Little River, SC
National Provider Identifier
1598202103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- SC8229
- Practice address
- 1561 Highway 17
Little River, SC 29566-9226 - Phone
- (843) 212-2656
- NPI assigned
- Jan 21, 2017
- Last updated
- Jan 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | SC8229 | SC | Primary |
Addresses
Primary practice location
1561 Highway 17
Little River, SC 29566-9226
Mailing address
642 Wintercreeper Dr
Longs, SC 29568-9228
Phone (301) 399-9578
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 |
|---|---|---|---|
| SC8229 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484956800000",
"number": "1598202103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 WINTERCREEPER DR",
"city": "LONGS",
"state": "SC",
"postal_code": "295689228",
"telephone_number": "301-399-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 HIGHWAY 17",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295669226",
"telephone_number": "843-212-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIN",
"first_name": "DENISE",
"middle_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-21",
"last_updated": "2017-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "SC8229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.