Organization Active NPI

Ken Caryl 904 Inc

  • Massage Therapist
  • Littleton, CO
National Provider Identifier
1700746450
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KEN CARYL 904 INC
Practice address
12482 W Ken Caryl Ave Unit A5
Littleton, CO 80127-3724
Phone
(720) 574-2141
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Patrice Vincent
Title
Accountant
Phone
(801) 313-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

12482 W Ken Caryl Ave Unit A5
Littleton, CO 80127-3724

Mailing address

5544 S Green St
Murray, UT 84123-5798
Phone (801) 313-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1700746450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 S GREEN ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235798",
            "telephone_number": "801-313-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12482 W KEN CARYL AVE UNIT A5",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273724",
            "telephone_number": "720-574-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN CARYL 904 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "801-313-8000"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2025; 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.