Individual provider Active NPI

Michael Scott Carnes, MASSAGE THERAPIST

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1669984837
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-24144 Issued in AZ
Practice address
205 W Giaconda Way Ste 105
Tucson, AZ 85704-4350
Phone
(520) 204-1479
NPI assigned
Oct 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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-24144 AZ Primary

Addresses

Primary practice location

205 W Giaconda Way Ste 105
Tucson, AZ 85704-4350

Mailing address

206 E 5TH St
San Manuel, AZ 85631-1406
Phone (480) 620-6989

Other practice location 1

1625 W Ina Rd
Tucson, AZ 85704-1900
Phone (520) 204-1479

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-24144AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1669984837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 5TH ST",
            "city": "SAN MANUEL",
            "state": "AZ",
            "postal_code": "856311406",
            "telephone_number": "480-620-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GIACONDA WAY STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044350",
            "telephone_number": "520-204-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 W Ina Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041900",
            "country_code": "US",
            "telephone_number": "520-204-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNES",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-28",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.