Individual provider Active NPI

Taylor Michael Cahill-Therrien, LMT

  • Massage Therapist
  • Eagle, ID
National Provider Identifier
1689300642
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-2419 Issued in ID
Practice address
539 S Fitness PL Ste 150
Eagle, ID 83616-7035
Phone
(208) 559-3802
NPI assigned
Jul 30, 2022
Last updated
Jul 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 MAS-2419 ID Primary

Addresses

Primary practice location

539 S Fitness PL Ste 150
Eagle, ID 83616-7035

Mailing address

539 S Fitness PL Ste 150
Eagle, ID 83616-7035
Phone (208) 559-3802

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taylor@remedemyotherapy.com Direct

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
MAS-2419IDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1689300642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167035",
            "telephone_number": "208-559-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167035",
            "telephone_number": "208-559-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL-THERRIEN",
        "first_name": "TAYLOR",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@remedemyotherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "539 S Fitness Pl Ste 150",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836167035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.