Individual provider Active NPI

Emily Mathis, LMT

  • Massage Therapist
  • Boise, ID
National Provider Identifier
1740873017
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-3949 Issued in ID
Practice address
919 N 27TH St Ste a
Boise, ID 83702-2130
Phone
(208) 284-2647
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAS-3949 ID Primary

Addresses

Primary practice location

919 N 27TH St Ste a
Boise, ID 83702-2130

Mailing address

6893 S Valley Heights Dr
Boise, ID 83709-6654
Phone (541) 331-2033

Other practice location 1

4477 W Emerald St Ste A200
Boise, ID 83706-2078
Phone (208) 918-4458

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@hybridpainrelief.com Direct
Direct Messaging Address emily@timberlinemassage.com Direct

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
MAS-3949IDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1740873017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6893 S VALLEY HEIGHTS DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096654",
            "telephone_number": "541-331-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N 27TH ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837022130",
            "telephone_number": "208-284-2647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4477 W Emerald St Ste A200",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837062078",
            "country_code": "US",
            "telephone_number": "208-918-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "EMILY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-3949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hybridpainrelief.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email communication",
            "address_1": "919 N 27th St Ste A",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837022130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@timberlinemassage.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email communication",
            "address_1": "4477 W Emerald St Ste A200",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837062078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.