NPIMap

Organization Active NPI

Copper Tree Retreat Unlimited LLC

  • Massage Therapist
  • Longview, TX
National Provider Identifier
1689411969
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
COPPER TREE RETREAT UNLIMITED LLC
Practice address
116 E South St
Longview, TX 75601-7437
Phone
(903) 230-1911
NPI assigned
Jul 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shay Blount
Title
Operations Manager
Phone
(903) 230-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

116 E South St
Longview, TX 75601-7437

Mailing address

116 E South St
Longview, TX 75601-7437
Phone (903) 230-1911

National Provider Directory

National Provider Directory

Locations

116 E South St
Longview, TX 75601
Phone (903) 230-1911

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1689411969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E SOUTH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017437",
            "telephone_number": "903-230-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E SOUTH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017437",
            "telephone_number": "903-230-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER TREE RETREAT UNLIMITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "903-230-1911"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.