Active NPI
Kobie Nichols, MT
- Massage Therapist
- Washington, DC
National Provider Identifier
1730897281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT2000081
- Practice address
- 5412 4TH St NW Apt 6
Washington, DC 20011-3152 - Phone
- (424) 236-0119
- NPI assigned
- Nov 14, 2022
- 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 | MT2000081 | DC | Primary |
Addresses
Primary practice location
5412 4TH St NW Apt 6
Washington, DC 20011-3152
Mailing address
5412 4TH St NW Apt 6
Washington, DC 20011-3152
Phone (424) 236-0119
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT2000081 | DC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1730897281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 4TH ST NW APT 6",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200113152",
"telephone_number": "424-236-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5412 4TH ST NW APT 6",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200113152",
"telephone_number": "424-236-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "KOBIE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "MT2000081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.