Individual provider Active NPI

Elizabeth Eustis, LMBT, RYT 200,

  • Massage Therapist
  • Jacksonville, NC
National Provider Identifier
1669253134
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16824 Issued in NC
Practice address
1368 Piney Green Rd Ste 4
Jacksonville, NC 28546-4577
Phone
(910) 378-3208
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 16824 NC Primary

Addresses

Primary practice location

1368 Piney Green Rd Ste 4
Jacksonville, NC 28546-4577

Mailing address

1368 Piney Green Rd Ste 4
Jacksonville, NC 28546-4577
Phone (910) 378-3208

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
16824NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Touch of Science Massage Therapy LLC Massage Therapist CurrentSince Oct 15, 2023 Accepting new patients

Locations

1368 Piney Green Rd
Ste 4
Jacksonville, NC 28546
Phone (910) 340-0854

Organizations & group practices 1

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1669253134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 PINEY GREEN RD STE 4",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285464577",
            "telephone_number": "910-378-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 PINEY GREEN RD STE 4",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285464577",
            "telephone_number": "910-378-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTIS",
        "first_name": "ELIZABETH",
        "credential": "LMBT, RYT 200,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "16824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.