Active NPI
Fostering Wellness Massage Therapy
- Massage Therapist
- Portsmouth, VA
National Provider Identifier
1780160200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019006819
- Legal business name
- FOSTERING WELLNESS MASSAGE THERAPY
- Practice address
- 3108 Tyre Neck Rd Ste D
Portsmouth, VA 23703-4532 - Phone
- (757) 323-5139
- NPI assigned
- Jul 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly M Foster, LMT, MMP
- Title
- Owner/Licensed Massage Therapist
- Phone
- (757) 323-5139
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019006819 | VA | Primary |
Addresses
Primary practice location
3108 Tyre Neck Rd Ste D
Portsmouth, VA 23703-4532
Mailing address
2736 Meadow Dr W
Chesapeake, VA 23321-4132
Phone (757) 323-5139
National Provider Directory
National Provider DirectoryLocations
3108 Tyre Neck Rd
Ste D
Portsmouth, VA 23703
Phone (757) 323-5139
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Portsmouth, VA
- NPI 1174037444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531785600000",
"number": "1780160200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 MEADOW DR W",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233214132",
"telephone_number": "757-323-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 TYRE NECK RD STE D",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237034532",
"telephone_number": "757-323-5139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTERING WELLNESS MASSAGE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
"authorized_official_telephone_number": "757-323-5139",
"authorized_official_credential": "LMT, MMP"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019006819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.