Active NPI
Rosa Lynn Rainey, LMT
- Massage Therapist
- Myrtle Beach, SC
National Provider Identifier
1619731973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12397
- Practice address
- 1151 Robert Grissom Pkwy
Myrtle Beach, SC 29577-5664 - Phone
- (850) 586-0006
- NPI assigned
- Feb 7, 2024
- 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 | 12397 | SC | Primary |
Addresses
Primary practice location
1151 Robert Grissom Pkwy
Myrtle Beach, SC 29577-5664
Mailing address
4080 Alvina Way
Myrtle Beach, SC 29579-3385
Phone (850) 586-0006
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 |
|---|---|---|---|
| 12397 | SC | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1619731973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 ALVINA WAY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793385",
"telephone_number": "850-586-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 ROBERT GRISSOM PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775664",
"telephone_number": "850-586-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEY",
"first_name": "ROSA",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "12397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.