Individual provider Active NPI

Alicia Muncatchy

  • Massage Therapist
  • Columbia, SC
National Provider Identifier
1720364243
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6013 Issued in SC
Practice address
1612 Marion St
Suite 201
Columbia, SC 29201-2939
Phone
(803) 414-1118
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6013 SC Primary

Addresses

Primary practice location

1612 Marion St
Suite 201
Columbia, SC 29201-2939

Mailing address

1612 Marion St
Suite 201
Columbia, SC 29201-2939
Phone (803) 414-1118

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

LicenseStateTypeSpecialty
6013SCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1720364243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MARION ST",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012939",
            "telephone_number": "803-414-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 MARION ST",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012939",
            "telephone_number": "803-414-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCATCHY",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.