Active NPI
John Robert Parks Jr., LMT
- Massage Therapist
- Sevierville, TN
National Provider Identifier
1730428970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- NVMT.4647
- Practice address
- 436 Park Rd
Sevierville, TN 37862-4128 - Phone
- (865) 505-0636
- NPI assigned
- Feb 7, 2013
- Sex
- Male
- 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 | NVMT.4647 | NV | Primary |
Addresses
Primary practice location
436 Park Rd
Sevierville, TN 37862-4128
Mailing address
854 S Old Sevierville Pike
Seymour, TN 37865-4146
Phone (702) 834-1335
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 |
|---|---|---|---|
| NVMT.4647 | NV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1730428970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 S OLD SEVIERVILLE PIKE",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378654146",
"telephone_number": "702-834-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 PARK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378624128",
"telephone_number": "865-505-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-07",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "NVMT.4647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.