Individual provider Active NPI

Richard Bowley, LMT

  • Massage Therapist
  • Glendale, AZ
National Provider Identifier
1669914867
Registry record updated Nov 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-22138 Issued in AZ
Practice address
7055 W Bell Rd
Ste13
Glendale, AZ 85308-8544
Phone
(623) 219-9059
NPI assigned
Nov 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2016

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 MT-22138 AZ Primary

Addresses

Primary practice location

7055 W Bell Rd
Ste13
Glendale, AZ 85308-8544

Mailing address

7055 W Bell Rd
Ste13
Glendale, AZ 85308-8544
Phone (623) 219-9059

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
MT-22138AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478390400000",
    "number": "1669914867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 W BELL RD",
            "address_2": "STE13",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088544",
            "telephone_number": "623-219-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 W BELL RD",
            "address_2": "STE13",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088544",
            "telephone_number": "623-219-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLEY",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2016-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-22138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2016; 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.