Active NPI
Ada S Spencer, LMT
- Massage Therapist
- Pine Ridge, KY
National Provider Identifier
1740558162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- KY-4051
- Practice address
- 22 Dorsey Spencer Rd.
Pine Ridge, KY 41360 - Phone
- (606) 362-7959
- NPI assigned
- Dec 13, 2011
- 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 | KY-4051 | KY | Primary |
Addresses
Primary practice location
22 Dorsey Spencer Rd.
Pine Ridge, KY 41360
Mailing address
1080 Ky 715
Rogers, KY 41365-8331
Phone (606) 362-7959
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY-4051 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1740558162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 KY 715",
"city": "ROGERS",
"state": "KY",
"postal_code": "413658331",
"telephone_number": "606-362-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 DORSEY SPENCER RD.",
"city": "PINE RIDGE",
"state": "KY",
"postal_code": "41360",
"telephone_number": "606-362-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ADA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "KY-4051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Ridge, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.