Organization Active NPI

Muscle Rehab Massage Therapy

  • Massage Therapist
  • Allentown, PA
National Provider Identifier
1730563347
Registry record updated Nov 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG003217 Issued in PA
Legal business name
MUSCLE REHAB MASSAGE THERAPY
Practice address
6801 Tilghman St
Unit #103
Allentown, PA 18106-9593
Phone
(484) 891-0568
Fax
(610) 601-4413
NPI assigned
Jul 13, 2015
Last updated
Nov 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2015

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

Authorized official

Name
Mrs. Adrienne Michele McKimmey, LMT
Title
Licensed Massage Therapist
Phone
(484) 891-0568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG003217 PA Primary

Addresses

Primary practice location

6801 Tilghman St
Unit #103
Allentown, PA 18106-9593

Mailing address

6801 Tilghman St
Unit #103
Allentown, PA 18106-9593
Phone (484) 891-0568

National Provider Directory

National Provider Directory

Locations

6801 Tilghman St
Unit 103
Allentown, PA 18106
Phone (484) 891-0568

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448668800000",
    "number": "1730563347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 TILGHMAN ST",
            "address_2": "UNIT #103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069593",
            "telephone_number": "484-891-0568",
            "fax_number": "610-601-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 TILGHMAN ST",
            "address_2": "UNIT #103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069593",
            "telephone_number": "484-891-0568",
            "fax_number": "610-601-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE REHAB MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-11-28",
        "status": "A",
        "authorized_official_last_name": "MCKIMMEY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "484-891-0568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG003217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; 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.