Stephen Pollock, LMBT # 15275

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15275 Issued in NC

Practice address

730 Tyvola Rd
Charlotte, NC 28217-3508

Phone

(704) 525-9909

NPI assigned

Jan 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451779200000",
    "number": "1740646025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 TYVOLA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173508",
            "telephone_number": "704-525-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 TYVOLA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173508",
            "telephone_number": "704-525-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "STEPHEN",
        "credential": "LMBT # 15275",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "15275",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "10057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ida Pollack, MD
• Anne Marie Pollard
• Megan Mann Pollard, MS, CGC
• Erin Elizabeth Pollock, DO
• Sarah Anne Medearis Pollock, MD
• Victoria Alec Polo, MD
• Kimberly Hansen Polonsky, FNP-BC
• Madison Skye McLellan Polsgrove, PA
• Jonathan Polsky, L.AC.
• Christine Elizabeth Poltawsky, M.S,, LCAS

• Massage Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.