Active NPI
Rodney Webb Crouch Sr., LMT
- Massage Therapist
- Columbia, SC
National Provider Identifier
1639478944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6315
- Practice address
- 1400 Laurel St
Suite B
Columbia, SC 29201-2500 - Phone
- (803) 240-8084
- NPI assigned
- Mar 25, 2011
- Last updated
- Mar 25, 2011
- Sex
- Male
- 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 | 6315 | SC | Primary |
Addresses
Primary practice location
1400 Laurel St
Suite B
Columbia, SC 29201-2500
Mailing address
1400 Laurel St
Suite B
Columbia, SC 29201-2500
Phone (803) 240-8084
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 |
|---|---|---|---|
| 6315 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1639478944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 LAUREL ST",
"address_2": "SUITE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012500",
"telephone_number": "803-240-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 LAUREL ST",
"address_2": "SUITE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012500",
"telephone_number": "803-240-8084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "RODNEY",
"middle_name": "WEBB",
"name_suffix": "Sr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "6315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Crossroads Treatment Center of Columbia, PC
- Edward Granderson Crosswell, MD
- Hal Holland Crosswell III, MD
- William Fort Crosswell, MD
- Keith Morris Crosswhite, PHYSICAL THERAPIST
- Emily Anne Crounse, PHARMD
- Katherine Crow, NURSE PRACTITIONER
- Sandra Crow, RN BCCNS
- Houston Crowder IV
- Michael Smith Crowder
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.