NPIMap

Organization Active NPI

Colorado Massage Center

  • Massage Therapist
  • Boulder, CO
National Provider Identifier
1740423987
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2498 Issued in CO
Legal business name
COLORADO MASSAGE CENTER
Practice address
3109 28TH St
Boulder, CO 80301-1315
Phone
(303) 443-5202
Fax
(303) 440-8897
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Mr. Richard Andrew Gaines Jr., R.M.T.
Title
Director
Phone
(303) 443-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2498 CO Primary

Addresses

Primary practice location

3109 28TH St
Boulder, CO 80301-1315

Mailing address

3109 28TH St
Boulder, CO 80301-1315
Phone (303) 443-5202

National Provider Directory

National Provider Directory

Locations

3109 28th St
Boulder, CO 80301
Phone (303) 443-5202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1740423987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011315",
            "telephone_number": "303-443-5202",
            "fax_number": "303-440-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011315",
            "telephone_number": "303-443-5202",
            "fax_number": "303-440-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MASSAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-443-5202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "2498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.