Individual provider Active NPI

Ratia Kirby, LMT, MMT, NDTR

  • Massage Therapist
  • Roanoke, VA
National Provider Identifier
1730950783
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019017997 Issued in VA
Practice address
402 Mountain Ave SW Apt 1
Roanoke, VA 24016-3948
Phone
(434) 222-4522
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X 86083840 VA
Massage Therapist 225700000X 0019017997 VA Primary

Addresses

Primary practice location

402 Mountain Ave SW Apt 1
Roanoke, VA 24016-3948

Mailing address

402 Mountain Ave SW Apt 1
Roanoke, VA 24016-3948
Phone (434) 222-4522

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
86083840VAMDRegistered Dietetic Technician
0019017997VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1730950783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MOUNTAIN AVE SW APT 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163948",
            "telephone_number": "434-222-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MOUNTAIN AVE SW APT 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163948",
            "telephone_number": "434-222-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "RATIA",
        "credential": "LMT, MMT, NDTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "VA",
            "license": "86083840",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019017997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.