Active NPI
Sofia Ticas
- Massage Therapist
- Las Vegas, NV
National Provider Identifier
1649655085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- NVMT6406
- Practice address
- 6600 W Charleston Blvd Ste 101
Las Vegas, NV 89146-1067 - Phone
- (702) 690-1865
- NPI assigned
- Jul 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NVMT6406 | NV | Primary |
| Contractor | 171W00000X | 680240156 | NV |
Addresses
Primary practice location
6600 W Charleston Blvd Ste 101
Las Vegas, NV 89146-1067
Mailing address
6600 W Charleston Blvd Ste 101
Las Vegas, NV 89146-1067
Phone (702) 690-1865
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 |
|---|---|---|---|
| 680240156 | NV | MD | Contractor |
| NVMT6406 | NV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1649655085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 W CHARLESTON BLVD STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461067",
"telephone_number": "702-690-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 W CHARLESTON BLVD STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461067",
"telephone_number": "702-690-1865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICAS",
"first_name": "SOFIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "NVMT6406",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NV",
"license": "680240156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.