Active NPI
Tammy J Roecker, LMT
- Massage Therapist
- Peoria, AZ
National Provider Identifier
1629248018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-04599P
- Practice address
- 8279 W Lake Pleasant Pkwy Suite 106
Peoria, AZ 85382-5125 - Phone
- (602) 697-6463
- NPI assigned
- Mar 3, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CERTIFIED DOULA | AZ | |
| Health Educator | 174H00000X | CERTIFIED CBE | AZ | |
| Massage Therapist | 225700000X | MT-04599P | AZ | Primary |
Addresses
Primary practice location
8279 W Lake Pleasant Pkwy Suite 106
Peoria, AZ 85382-5125
Mailing address
10364 W. Country Club Trail
Peoria, AZ 85383
Phone (602) 697-6463
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 |
|---|---|---|---|
| CERTIFIED DOULA | AZ | MD | Specialist |
| CERTIFIED CBE | AZ | MD | Health Educator |
| MT-04599P | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1629248018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10364 W. COUNTRY CLUB TRAIL",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85383",
"telephone_number": "602-697-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8279 W LAKE PLEASANT PKWY SUITE 106",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825125",
"telephone_number": "602-697-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROECKER",
"first_name": "TAMMY",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "CERTIFIED DOULA",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "AZ",
"license": "CERTIFIED CBE",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-04599P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.