Individual provider Active NPI

Catherine Elizabeth Mattivi, MASSAGE THERAPIST

  • Massage Therapist
  • Windsor, CO
National Provider Identifier
1629693528
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0017487 Issued in CO
Practice address
1180 Main St Unit 7
Windsor, CO 80550-4753
Phone
(970) 686-9117
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 0017487 CO Primary

Addresses

Primary practice location

1180 Main St Unit 7
Windsor, CO 80550-4753

Mailing address

1180 Main St Unit 7
Windsor, CO 80550-4753
Phone (970) 686-9117

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

LicenseStateTypeSpecialty
0017487COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Medical Group Inc Multi-Specialty CurrentSince Jun 21, 2020 Accepting new patients
Clinical Biomechanics of Posture (CBP) of Colorado a LLC Multi-Specialty PastSince Jun 21, 2020 Accepting new patients

Locations

1180 Main St
Unit 7
Windsor, CO 80550
Phone (970) 686-9117

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1629693528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MAIN ST UNIT 7",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504753",
            "telephone_number": "970-686-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MAIN ST UNIT 7",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504753",
            "telephone_number": "970-686-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIVI",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0017487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.