Individual provider Active NPI

Joe Henry Legolvan, CMT

  • Massage Therapist
  • Littleton, CO
National Provider Identifier
1780160002
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0008220 Issued in CO
Practice address
5912 S Cody St Ste 111
Littleton, CO 80123-9541
Phone
(720) 220-1687
NPI assigned
Jul 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 MT.0008220 CO Primary

Addresses

Primary practice location

5912 S Cody St Ste 111
Littleton, CO 80123-9541

Mailing address

9691 W Coco Cir Unit 203
Littleton, CO 80128-9272

Other identifiers 1

IdentifierTypeStateIssuer
20161265269OtherCERTIFICATE OF GOOD STANDING

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
MT.0008220COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1780160002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9691 W COCO CIR UNIT 203",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 S CODY ST STE 111",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801239541",
            "telephone_number": "720-220-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGOLVAN",
        "first_name": "JOE",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0008220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF GOOD STANDING",
            "identifier": "20161265269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.