Trade Street Massage LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5857 Issued in SC

Legal business name

TRADE STREET MASSAGE LLC

Doing business as

Trade Street Massage

Practice address

210 W Stone Ave
LR3
Greenville, SC 29609-5452

Phone

(864) 275-0229

Fax

(877) 608-5094

NPI assigned

May 28, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Ruggiero, NCTMB, LMT

Title

Owner

Phone

(864) 275-0229

Specialties & licenses 2

Addresses

Other names 1

• Trade Street Massage Doing business as

Locations

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1750793519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W STONE AVE",
            "address_2": "LR3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095452",
            "telephone_number": "864-275-0229",
            "fax_number": "877-608-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W STONE AVE",
            "address_2": "LR3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095452",
            "telephone_number": "864-275-0229",
            "fax_number": "877-608-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADE STREET MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "RUGGIERO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-275-0229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NCTMB, LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "5857",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "SC",
            "license": "5857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trade Street Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael A Towler, M.D.
• Margaret Towne, RN
• Amanda Townsend, RBT
• Kimberly Townsend, RBT
• Jerett Donald Tozzi, MD
• Trailhead Therapy Group, LLC
• Stephanie C Trammel, PHD, APRN, BC, FAAN
• Hoai Tran, PHARM.D
• Thanh Thi Tran, M.D.
• Yen-Nhi Diane Tran, NP-C

• Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.