Active NPI
Retha Anderson
- Massage Therapist
- Irmo, SC
National Provider Identifier
1710683552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12922
- Practice address
- 2 Orvis CT
Irmo, SC 29063-8062 - Phone
- (803) 587-8565
- NPI assigned
- Feb 3, 2023
- Last updated
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12922 | SC | Primary |
Addresses
Primary practice location
2 Orvis CT
Irmo, SC 29063-8062
Mailing address
2 Orvis CT
Irmo, SC 29063-8062
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12922 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1710683552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ORVIS CT",
"city": "IRMO",
"state": "SC",
"postal_code": "290638062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ORVIS CT",
"city": "IRMO",
"state": "SC",
"postal_code": "290638062",
"telephone_number": "803-587-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RETHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "12922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
- Reilly Altman
- American Health Imaging of South Carolina LLC (American Health Imaging of Irmo)
- American Healthcare Resources (Ashby Medical)
- American Medical Equipment & Supply,LLC
- Mackenzie Anderson
- Angels Mental Health Counseling Services LLC
- Anthony C. Martin DMD LLC
- Arcis Healthcare (Midlands Orthopaedics, PA)
- Arcis Healthcare, LLC (Midlands Orthopaedics, PA)
- Arie Anew Services Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.