Active NPI
Ken Caryl 904 Inc
- Massage Therapist
- Littleton, CO
National Provider Identifier
1700746450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryNPI 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.