Individual provider Active NPI

Rima L. Mackelburger

  • Massage Therapist
  • Littleton, CO
National Provider Identifier
1700041019
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
CMT072176 Issued in CO
Practice address
10789 Bradford Rd # R
Suite 110
Littleton, CO 80127-6403
Phone
(303) 904-8641
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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 CMT072176 CO Primary

Addresses

Primary practice location

10789 Bradford Rd # R
Suite 110
Littleton, CO 80127-6403

Mailing address

10789 Bradford Rd # R
Suite 110
Littleton, CO 80127-6403
Phone (303) 904-8641

Other identifiers 1

IdentifierTypeStateIssuer
CMT072176OtherCOCERTIFIED MASSAGE THERAPIST

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
CMT072176COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Family Chiropractic, Inc PastSince Sep 9, 1996 Accepting new patients
M5 Chiropractic Professional LLC Past Accepting new patients

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1700041019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10789 BRADFORD RD # R",
            "address_2": "SUITE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276403",
            "telephone_number": "303-904-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10789 BRADFORD RD # R",
            "address_2": "SUITE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276403",
            "telephone_number": "303-904-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKELBURGER",
        "first_name": "RIMA",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "CMT072176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MASSAGE THERAPIST",
            "identifier": "CMT072176",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.