Mosaic Medical Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOSAIC MEDICAL MASSAGE, LLC

Practice address

5346 Cherokee Rd
Indian Hills, CO 80454-5033

Phone

(307) 922-1477

NPI assigned

Nov 1, 2021

Last updated

Nov 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sally Jane Ennis Albrighton, LMTNPI 1780225912

Title

Owner - Ceo

Phone

(307) 922-1477

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Jane Ennis Albrighton, LMT

  • Massage Therapist
  • Englewood, CO
  • NPI 1780225912
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1639834013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "INDIAN HILLS",
            "state": "CO",
            "postal_code": "804540971",
            "telephone_number": "307-922-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 CHEROKEE RD",
            "city": "INDIAN HILLS",
            "state": "CO",
            "postal_code": "804545033",
            "telephone_number": "307-922-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MEDICAL MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHTON",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JANE ENNIS",
        "authorized_official_title_or_position": "OWNER - CEO",
        "authorized_official_telephone_number": "307-922-1477",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Indian Hills, CO
• Providers in Indian Hills, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.