Individual provider Active NPI

Amin Kasim Abdulrahman, MASSAGE THERAPIST

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1801190236
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT11778 Issued in AZ
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

Updated by the provider on Dec 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT11778AZMDMassage 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.

Verify at the official NPI Registry.