Tina Crownover, LMT, CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

967 Issued in TN

Practice address

660 Monte Carlo Dr
Antioch, TN 37013-4431

Phone

(615) 974-5519

NPI assigned

Dec 21, 2022

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

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1821700865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MONTE CARLO DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MONTE CARLO DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134431",
            "telephone_number": "615-974-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 W End Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372036851",
            "country_code": "US",
            "telephone_number": "615-343-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWNOVER",
        "first_name": "TINA",
        "credential": "LMT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Antioch, TN
• Providers in Antioch, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.