Active NPI
Michelle Denise Reisinger, LMT
- Massage Therapist
- Clarksville, TN
National Provider Identifier
1801091277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10420
- Practice address
- 1820 Madison St Ste D
Clarksville, TN 37043-8037 - Phone
- (931) 624-4333
- NPI assigned
- Jun 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 127526 | AK | |
| Massage Therapist | 225700000X | 10420 | TN | Primary |
Addresses
Primary practice location
1820 Madison St Ste D
Clarksville, TN 37043-8037
Mailing address
3649 Steeplechase LN
Hopkinsville, KY 42240-4004
Phone (931) 624-4333
Other practice location 1
1716 Memorial Dr Ste D
Clarksville, TN 37043-4542
Phone (931) 624-4333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127526 | Other | AK | LMT |
| 10420 | Other | TN | LMT |
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 |
|---|---|---|---|
| 10420 | TN | MD | Pharmacist |
| 127526 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1801091277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3649 STEEPLECHASE LN",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422404004",
"telephone_number": "931-624-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 MADISON ST STE D",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438037",
"telephone_number": "931-624-4333"
}
],
"practiceLocations": [
{
"address_1": "1716 Memorial Dr Ste D",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370434542",
"country_code": "US",
"telephone_number": "931-624-4333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REISINGER",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AK",
"license": "127526",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "10420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "127526",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "10420",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.