Active NPI
Bethany Knight, L.M.T
- Massage Therapist
- Summerville, SC
National Provider Identifier
1669916342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10083
- Practice address
- 146 Back Tee Cir
Summerville, SC 29485-6276 - Phone
- (843) 518-0692
- NPI assigned
- Dec 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10083 | SC | Primary |
Addresses
Primary practice location
146 Back Tee Cir
Summerville, SC 29485-6276
Mailing address
200 W 5TH North St
Summerville, SC 29483-6512
Phone (843) 518-0692
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1669916342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 5TH NORTH ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836512",
"telephone_number": "843-518-0692",
"fax_number": "843-695-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 BACK TEE CIR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294856276",
"telephone_number": "843-518-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "BETHANY",
"name_prefix": "Mrs.",
"credential": "L.M.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "10083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.