Active NPI
Tamika Phill
- Massage Therapist
- Baton Rouge, LA
National Provider Identifier
1821669995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LA5683
- Practice address
- 8762 Quarters Lake Rd
Baton Rouge, LA 70809-7300 - Phone
- (225) 276-7080
- NPI assigned
- Jul 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA5683 | LA | Primary |
Addresses
Primary practice location
8762 Quarters Lake Rd
Baton Rouge, LA 70809-7300
Mailing address
9627 W Tams Dr
Baton Rouge, LA 70815-8963
Phone (225) 276-7080
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 |
|---|---|---|---|
| LA5683 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1821669995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9627 W TAMS DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708158963",
"telephone_number": "225-276-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8762 QUARTERS LAKE RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708097300",
"telephone_number": "225-276-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILL",
"first_name": "TAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA5683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.