Active NPI
Michael Scott Carnes, MASSAGE THERAPIST
- Massage Therapist
- Tucson, AZ
National Provider Identifier
1669984837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-24144
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT-24144 | AZ | MD | Massage 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.