Alexandra Renae Roos Foreman, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4741 Issued in AL

Practice address

207 Eustis Ave SE Ste B
Huntsville, AL 35801-4275

Phone

(256) 665-3114

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alexandra Renae Roos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1801373204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SHILOH RD",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "357508947",
            "telephone_number": "256-665-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 EUSTIS AVE SE STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014275",
            "telephone_number": "256-665-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "RENAE ROOS",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "4741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "ROOS",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kureisha Ford, LMSW
• Michael Chandler Ford, CRNA
• Susan D Ford, CRNA
• Whitney Ann Ford
• Traci Foree, LPC
• Carter A Forgey, MS ATC
• Catherine Elizabeth Forgione, LMT
• Marion Thomas Forrester Jr., RPH
• Bonnie Forsberg, DPT
• Madelyn Lee Fortman, PA

• Massage Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Massage Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.