Individual provider Active NPI

Teri Sue Kathman

  • Massage Therapist
  • Spencer, IA
National Provider Identifier
1750058020
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4939 Issued in IA
Practice address
1812 24TH Ave W Ste 102
Spencer, IA 51301-2661
Phone
(515) 320-4065
NPI assigned
Aug 25, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 4939 IA Primary

Addresses

Primary practice location

1812 24TH Ave W Ste 102
Spencer, IA 51301-2661

Mailing address

2915 150TH Ave
Everly, IA 51338-7571
Phone (515) 320-4065

Other identifiers 1

IdentifierTypeStateIssuer
4939OtherIAIOWA MASSAGE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KHH@massagetherapy.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
4939IAMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: khh@massagetherapy.com

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1750058020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 150TH AVE",
            "city": "EVERLY",
            "state": "IA",
            "postal_code": "513387571",
            "telephone_number": "515-320-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 24TH AVE W STE 102",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012661",
            "telephone_number": "515-320-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHMAN",
        "first_name": "TERI",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "4939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MASSAGE LICENSE",
            "identifier": "4939",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KHH@massagetherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email",
            "address_1": "1812 24th Ave W Ste 102",
            "city": "Spencer",
            "state": "IA",
            "country_code": "US",
            "postal_code": "513012661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.