Individual provider Active NPI

Teri Lynn Stallo, L.M.T.

  • Massage Therapist
  • Oak Ridge, TN
National Provider Identifier
1821268160
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0000006495 Issued in TN
Practice address
202 Manhattan Ave
Oak Ridge, TN 37830-7503
Phone
(865) 483-5020
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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 MT0000006495 TN Primary

Addresses

Primary practice location

202 Manhattan Ave
Oak Ridge, TN 37830-7503

Mailing address

202 Manhattan Ave
Oak Ridge, TN 37830-7503
Phone (865) 483-5020

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
MT0000006495TNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1821268160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MANHATTAN AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307503",
            "telephone_number": "865-483-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MANHATTAN AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307503",
            "telephone_number": "865-483-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLO",
        "first_name": "TERI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "MT0000006495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.