Active NPI
Tracy Michelle River, MT, CLT
- Massage Therapist
- Bluffton, SC
National Provider Identifier
1730985029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7165
- Practice address
- 262 Red Cedar St Ste 4
Bluffton, SC 29910-8968 - Phone
- (843) 227-3508
- NPI assigned
- Feb 19, 2025
- Last updated
- Feb 19, 2025
- Sex
- Female
- 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 | 7165 | SC | Primary |
Addresses
Primary practice location
262 Red Cedar St Ste 4
Bluffton, SC 29910-8968
Mailing address
519 Cypress CV
Bluffton, SC 29910-7910
Phone (407) 451-7675
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 |
|---|---|---|---|
| 7165 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1730985029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 CYPRESS CV",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107910",
"telephone_number": "407-451-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 RED CEDAR ST STE 4",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108968",
"telephone_number": "843-227-3508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVER",
"first_name": "TRACY",
"middle_name": "MICHELLE",
"credential": "MT, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "7165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.