Individual provider Active NPI

Nova Rupp

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1699408849
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0021206 Issued in CO
Practice address
502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697
Phone
(719) 473-2958
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 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.0021206 CO Primary

Addresses

Primary practice location

502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697

Mailing address

197 Vista Dr
Westcliffe, CO 81252-8589
Phone (720) 366-6021

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Nova@totalfunctionpt.com

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.0021206COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Function Physical Therapy, PC CurrentSince Jul 10, 2022 Accepting new patients
Total Function Physical Therapy, PC PastSince Jul 10, 2022 Accepting new patients

Locations

502 E Pikes Peak Ave
Ste 110
Colorado Springs, CO 80903
Phone (719) 473-2958

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1699408849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 VISTA DR",
            "city": "WESTCLIFFE",
            "state": "CO",
            "postal_code": "812528589",
            "telephone_number": "720-366-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E PIKES PEAK AVE STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033697",
            "telephone_number": "719-473-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "NOVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0021206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nova@totalfunctionpt.com",
            "affiliation": "N",
            "address_1": "502 E Pikes Peak Ave Ste 110",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809033697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.