NPIMap

Organization Active NPI

Restorative Bodywork

  • Massage Therapist
  • Columbia, SC
National Provider Identifier
1780010645
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6932 Issued in SC
Legal business name
RESTORATIVE BODYWORK
Practice address
1625 Lake Murray Blvd
Columbia, SC 29212-8626
Phone
(803) 403-2056
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Kaitlyn Flanagan, LMTNPI 1629404595
Title
General Partner
Phone
(843) 425-3432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 6932 SC Primary

Addresses

Primary practice location

1625 Lake Murray Blvd
Columbia, SC 29212-8626

Mailing address

1625 Lake Murray Blvd
Columbia, SC 29212-8626
Phone (803) 403-2056

National Provider Directory

National Provider Directory

Locations

1625 Lake Murray Blvd
Columbia, SC 29212
Phone (803) 238-9464

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1780010645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128626",
            "telephone_number": "803-403-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128626",
            "telephone_number": "803-403-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "843-425-3432",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "6932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.