Center for Neuromuscular Massage Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

12963 Issued in CO

Legal business name

CENTER FOR NEUROMUSCULAR MASSAGE THERAPY

Practice address

3955 E Exposition Ave
Suite 320
Denver, CO 80209-5033

Phone

(303) 777-1151

Fax

(303) 777-3112

NPI assigned

Jun 13, 2011

Organization subpart

No

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

Authorized official

Name

Elena Ilieva Paskova, PT, LMT

Title

Owner

Phone

(303) 777-1151

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1730474255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095033",
            "telephone_number": "303-777-1151",
            "fax_number": "303-777-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095033",
            "telephone_number": "303-777-1151",
            "fax_number": "303-777-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROMUSCULAR MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "PASKOVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "ILIEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-777-1151",
        "authorized_official_credential": "PT, LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "12963",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "6745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.