Active NPI
Ellen Renae Pharis, LMT
- Massage Therapist
- Leitchfield, KY
National Provider Identifier
1699071258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 205 Fraim St
Leitchfield, KY 42754 - Phone
- (270) 868-0050
- NPI assigned
- Jan 31, 2011
- Last updated
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
205 Fraim St
Leitchfield, KY 42754
Mailing address
205 Fraim St
Leitchfield, KY 42754
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": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1699071258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 FRAIM ST",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "42754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 FRAIM ST",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "42754",
"telephone_number": "270-868-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHARIS",
"first_name": "ELLEN",
"middle_name": "RENAE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leitchfield, KY
- Owensboro Health Twin Lakes Regional Medical Center, Inc (Owensboro Health Twin Lakes Medical Center)
- Owensboro Health Twin Lakes Regional Medical Center, Inc (Twin Lakes Community Pharmacy)
- Pediatric Evaluation Clinic, PLLC
- Kristi Suzanne Pence
- Joseph C Petrocelli, MD
- Brittany Marie Phelps, DPT
- Physical Therapy Solutions, PSC
- Catrina Davis Pickerell
- Elizabeth Nicole Powell
- Eric Powell, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.