Active NPI
Karissa H. Requa, C.M.T.
- Massage Therapist
- Littleton, CO
National Provider Identifier
1720324437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3800
- Practice address
- 6508 S Acoma St
Littleton, CO 80120-3413 - Phone
- (720) 339-1724
- Fax
- (303) 932-1363
- NPI assigned
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 3800 | CO | Primary |
Addresses
Primary practice location
6508 S Acoma St
Littleton, CO 80120-3413
Mailing address
8357 N Rampart Range Rd
Suite #A205
Littleton, CO 80125-9365
Phone (720) 339-1724
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 |
|---|---|---|---|
| 3800 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1720324437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8357 N RAMPART RANGE RD",
"address_2": "SUITE #A205",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801259365",
"telephone_number": "720-339-1724",
"fax_number": "303-932-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 S ACOMA ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801203413",
"telephone_number": "720-339-1724",
"fax_number": "303-932-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REQUA",
"first_name": "KARISSA",
"middle_name": "H.",
"credential": "C.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-27",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "3800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.