Organization Active NPI

Quiet River Massage & Bodywork

  • Physical Therapy Clinic/Center
  • Prescott, AZ
National Provider Identifier
1710355599
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MT-11435 Issued in AZ
Legal business name
QUIET RIVER MASSAGE & BODYWORK
Practice address
132 N Washington Ave
Prescott, AZ 86301-3206
Phone
(928) 273-6897
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mrs. Lucy Helen Corey, LMT NCMTNPI 1841660065
Title
Manual Therapist
Phone
(928) 273-6897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MT-11435 AZ Primary
Health Maintenance Organization 302R00000X MT-11435 AZ

Addresses

Primary practice location

132 N Washington Ave
Prescott, AZ 86301-3206

Mailing address

132 N Washington Ave
Prescott, AZ 86301-3206
Phone (928) 273-6897

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1710355599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N WASHINGTON AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013206",
            "telephone_number": "928-273-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N WASHINGTON AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013206",
            "telephone_number": "928-273-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET RIVER MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "MANUAL THERAPIST",
        "authorized_official_telephone_number": "928-273-6897",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT  NCMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "MT-11435",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "MT-11435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.