Individual provider Active NPI

Beverly Ann Reed-Esakson, LMT

  • Massage Therapist
  • Aurora, CO
National Provider Identifier
1730783978
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0022343 Issued in CO
Practice address
14282 E Tufts PL Apt Q9
Aurora, CO 80015-1044
Phone
(720) 839-9077
NPI assigned
Nov 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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 MT0022343 CO Primary

Addresses

Primary practice location

14282 E Tufts PL Apt Q9
Aurora, CO 80015-1044

Mailing address

14282 E Tufts PL Apt Q9
Aurora, CO 80015-1044
Phone (720) 839-9077

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
MT0022343COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1730783978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14282 E TUFTS PL APT Q9",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151044",
            "telephone_number": "720-839-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14282 E TUFTS PL APT Q9",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151044",
            "telephone_number": "720-839-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-ESAKSON",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0022343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.