Individual provider Active NPI

Siddhartha Francis Torre-Frost

  • Massage Therapist
  • Rogers, AR
National Provider Identifier
1790576502
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1617463 Issued in AR
Practice address
2502 W Olive St
Rogers, AR 72756-3170
Phone
(479) 636-1108
NPI assigned
May 13, 2025
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 1617463 AR Primary

Addresses

Primary practice location

2502 W Olive St
Rogers, AR 72756-3170

Mailing address

2693 N Valencia Ave
Fayetteville, AR 72703-3363
Phone (845) 853-3735

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
1617463ARMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Back to Health Chiropractic PastSince May 18, 2025 Accepting new patients
Rogers Back to Health Chiropractic Massage Therapist PastSince May 18, 2025 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": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1790576502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 N VALENCIA AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033363",
            "telephone_number": "845-853-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W OLIVE ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563170",
            "telephone_number": "479-636-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRE-FROST",
        "first_name": "SIDDHARTHA",
        "middle_name": "FRANCIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "1617463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.