Individual provider Active NPI

Kerry Remsburg, LMT

  • Massage Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1750896817
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS2976 Issued in ID
Practice address
3913 N Schreiber Way
Coeur D Alene, ID 83815-8395
Phone
(208) 966-4425
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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 MAS2976 ID Primary

Addresses

Primary practice location

3913 N Schreiber Way
Coeur D Alene, ID 83815-8395

Mailing address

3913 N Schreiber Way
Coeur D Alene, ID 83815-8395
Phone (208) 966-4425

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
MAS2976IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fichter & Kinzer LLC PastSince Sep 15, 2019 Accepting new patients
Natural Spine Solutions Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1750896817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 N SCHREIBER WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158395",
            "telephone_number": "208-966-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 N SCHREIBER WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158395",
            "telephone_number": "208-966-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMSBURG",
        "first_name": "KERRY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.