Active NPI
Amin Kasim Abdulrahman, MASSAGE THERAPIST
- Massage Therapist
- Tucson, AZ
National Provider Identifier
1801190236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT11778
- Practice address
- 3415 E Monte Vista Dr
Tucson, AZ 85716-2046 - Phone
- (520) 591-9418
- Fax
- (520) 881-0485
- NPI assigned
- Dec 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Health Educator | 174H00000X | |||
| Lay Midwife | 175M00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Massage Therapist | 225700000X | MT11778 | AZ | Primary |
| Kinesiotherapist | 226300000X |
Addresses
Primary practice location
3415 E Monte Vista Dr
Tucson, AZ 85716-2046
Mailing address
3415 E Monte Vista Dr
Tucson, AZ 85716-2046
Phone (520) 591-9418
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 |
|---|---|---|---|
| MT11778 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1801190236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 E MONTE VISTA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162046",
"telephone_number": "520-591-9418",
"fax_number": "520-881-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 E MONTE VISTA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162046",
"telephone_number": "520-591-9418",
"fax_number": "520-881-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULRAHMAN",
"first_name": "AMIN",
"middle_name": "KASIM",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-28",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT11778",
"primary": true
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.