Active NPI
Rory Dillon
- Massage Therapist
- Princeton, WV
National Provider Identifier
1841748696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1999-0380
- Practice address
- 140 Misty LN
Princeton, WV 24740-6462 - Phone
- (304) 425-2222
- Fax
- (304) 487-6491
- NPI assigned
- Sep 21, 2016
- Last updated
- Sep 21, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 1999-0380 | WV | Primary |
Addresses
Primary practice location
140 Misty LN
Princeton, WV 24740-6462
Mailing address
140 1/2 Union St
Bluefield, WV 24701-3726
Phone (304) 887-9114
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 |
|---|---|---|---|
| 1999-0380 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1841748696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 1/2 UNION ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013726",
"telephone_number": "304-887-9114",
"fax_number": "304-487-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MISTY LN",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247406462",
"telephone_number": "304-425-2222",
"fax_number": "304-487-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "RORY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "1999-0380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.