Kenai Peninsula Massage Therapy Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

KENAI PENINSULA MASSAGE THERAPY INC.

Practice address

315 S Kobuk St Ste B
Soldotna, AK 99669-7842

Phone

(907) 420-0820

NPI assigned

Jan 12, 2021

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caitlin Riley Sparks, LMTNPI 1417546714

Title

LMT/Owner

Phone

(907) 953-0430

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlin Riley Sparks, LMT

  • Massage Therapist
  • Soldotna, AK
  • NPI 1417546714
  NPD Authorized official
• Ashley Marie Fowler, LMT

  • Massage Therapist
  • Soldotna, AK
  • NPI 1093304206
  NPD

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1740879949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S KOBUK ST STE B",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697842",
            "telephone_number": "907-420-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S KOBUK ST STE B",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697842",
            "telephone_number": "907-420-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAI PENINSULA MASSAGE THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "LMT/OWNER",
        "authorized_official_telephone_number": "907-953-0430",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenai Peninsula Borough (Central Emergency Services, Nikiski Fire, Bear Creek Fire, Kachemak)
• Kenai Peninsula Borough School District
• Kenai Peninsula Health System LLC Urgent Care of Soldotna
• Kenai Peninsula Home Health LLC
• Kenai Peninsula Hospice LLC
• Kenai Peninsula Mental Health LLC
• Kenai Peninsula Urology, LLC
• Kenai River Counseling
• Kenaitze Indian Tribe (Dena'ina Wellness Center Soldotna)
• Marissa Kennedy

• Point of Service in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Point of Service in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.