Active NPI
Kathryn Elizabeth D'Addamio, LMT
- Massage Therapist
- Tucson, AZ
National Provider Identifier
1598277063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-18702
- Practice address
- 6522 E Carondelet Dr Ste B
Tucson, AZ 85710-2197 - Phone
- (520) 609-2159
- NPI assigned
- Oct 24, 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 | MT-18702 | AZ | Primary |
Addresses
Primary practice location
6522 E Carondelet Dr Ste B
Tucson, AZ 85710-2197
Mailing address
PO Box 32676
Tucson, AZ 85751-2676
Phone (520) 609-2159
Other practice location 1
1600 N Tucson Blvd
Tucson, AZ 85716-3402
Phone (520) 360-4224
Other practice location 2
9021 E Waverly St
Tucson, AZ 85715-5573
Phone (520) 609-2159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT-18702 | Other | AZ | WORKERS COMP |
Other names 1
- Ms. Kathryn E Rosalik
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 |
|---|---|---|---|
| MT-18702 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598277063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32676",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857512676",
"telephone_number": "520-609-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6522 E CARONDELET DR STE B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102197",
"telephone_number": "520-609-2159"
}
],
"practiceLocations": [
{
"address_1": "1600 N Tucson Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857163402",
"country_code": "US",
"telephone_number": "520-360-4224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9021 E Waverly St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857155573",
"country_code": "US",
"telephone_number": "520-609-2159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'ADDAMIO",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-18702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "MT-18702",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "ROSALIK",
"middle_name": "E",
"prefix": "MS.",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.