Individual provider Active NPI

Tracy Yvette Griffin

  • Massage Therapist
  • Loveland, CO
National Provider Identifier
1619573052
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0023772 Issued in CO
Practice address
1491 Denver Ave Unit 101
Loveland, CO 80538-5228
Phone
(970) 663-2225
Fax
(970) 593-6748
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 MT.0023772 CO Primary

Addresses

Primary practice location

1491 Denver Ave Unit 101
Loveland, CO 80538-5228

Mailing address

1491 Denver Ave Unit 101
Loveland, CO 80538-5228
Phone (970) 663-2225

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BILLING@SCOTTFAMILYHEALTH.CM Direct

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
MT.0023772COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurofeedback Clinic of Northern Colorado LLC Current Accepting new patients
Neurofeedback Clinic of Northern Colorado LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1619573052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 DENVER AVE UNIT 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385228",
            "telephone_number": "970-663-2225",
            "fax_number": "970-593-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 DENVER AVE UNIT 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385228",
            "telephone_number": "970-663-2225",
            "fax_number": "970-593-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TRACY",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0023772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BILLING@SCOTTFAMILYHEALTH.CM",
            "affiliation": "N",
            "endpointDescription": "CORRESPONDANCE EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1491 Denver Ave Unit 101",
            "city": "Loveland",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805385228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.