Organization Active NPI

Elite Therapeutic Massage Center, LLC

  • Massage Therapist
  • Fort Smith, AR
National Provider Identifier
1669163093
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ELITE THERAPEUTIC MASSAGE CENTER, LLC
Practice address
2900 Old Greenwood Rd Ste E
Fort Smith, AR 72903-4578
Phone
(479) 235-7150
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Miranda P Cox, MMTNPI 1760882351
Title
Owner/Operator
Phone
(479) 235-7150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2900 Old Greenwood Rd Ste E
Fort Smith, AR 72903-4578

Mailing address

2900 Old Greenwood Rd Ste E
Fort Smith, AR 72903-4578
Phone (479) 235-7150

National Provider Directory

National Provider Directory

Locations

2900 Old Greenwood Rd
Ste E
Fort Smith, AR 72903
Phone (479) 235-7150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1669163093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 OLD GREENWOOD RD STE E",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034578",
            "telephone_number": "479-235-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 OLD GREENWOOD RD STE E",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034578",
            "telephone_number": "479-235-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPEUTIC MASSAGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "479-235-7150",
        "authorized_official_credential": "MMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.