Active NPI
Lisa Bivens, LMT
- Massage Therapist
- Roanoke, VA
National Provider Identifier
1831565902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019010885
- Practice address
- 1310 3Rd St SW
Roanoke, VA 24016-5219 - Phone
- (540) 797-5851
- NPI assigned
- Aug 12, 2015
- 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 | 0019010885 | VA | Primary |
Addresses
Primary practice location
1310 3Rd St SW
Roanoke, VA 24016-5219
Mailing address
1268 Flying W LN
Vinton, VA 24179-5726
Phone (540) 797-5851
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 |
|---|---|---|---|
| 0019010885 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1831565902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 FLYING W LN",
"city": "VINTON",
"state": "VA",
"postal_code": "241795726",
"telephone_number": "540-797-5851",
"fax_number": "540-369-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 3RD ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240165219",
"telephone_number": "540-797-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVENS",
"first_name": "LISA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019010885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.