Active NPI
Kathleen Marie Hines, MSOTR, NCTMB
- Massage Therapist
- Fort Collins, CO
National Provider Identifier
1841564374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2914
- Practice address
- 19 Old Town SQ
Fort Collins, CO 80524-2471 - Phone
- (970) 310-7789
- Fax
- (970) 482-0251
- NPI assigned
- Mar 1, 2012
- 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 | 2914 | CO | Primary |
Addresses
Primary practice location
19 Old Town SQ
Fort Collins, CO 80524-2471
Mailing address
19 Old Town SQ
Fort Collins, CO 80524-2471
Phone (970) 310-7789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2914 | Other | CO | STATE OF COLORADO DEPARTMENT OF REGULATORY AGENCIES |
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 |
|---|---|---|---|
| 2914 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1841564374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OLD TOWN SQ",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242471",
"telephone_number": "970-310-7789",
"fax_number": "970-482-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLD TOWN SQ",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242471",
"telephone_number": "970-310-7789",
"fax_number": "970-482-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "MSOTR, NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "2914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "2914",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.