Active NPI
Olga Emanuel
- Massage Therapist
- Lakewood, CO
National Provider Identifier
1760964654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0020637
- Practice address
- 3500 S Wadsworth Blvd Ste 302
Lakewood, CO 80235-2054 - Phone
- (303) 978-9338
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0020637 | CO | Primary |
Addresses
Primary practice location
3500 S Wadsworth Blvd Ste 302
Lakewood, CO 80235-2054
Mailing address
730 S Vance St Unit 3106
Lakewood, CO 80226-5029
Phone (303) 378-8330
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0020637 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1760964654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 S VANCE ST UNIT 3106",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802265029",
"telephone_number": "303-378-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S WADSWORTH BLVD STE 302",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352054",
"telephone_number": "303-978-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUEL",
"first_name": "OLGA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CO",
"license": "0020637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.