Ashley Lauren Glenn, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19113 Issued in NC

Practice address

3754 Brevard Rd Ste 105
Horse Shoe, NC 28742-8809

Phone

(828) 606-0258

NPI assigned

Nov 23, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Circle Massage Therapy LLC

  • Massage Therapist
  • Horse Shoe, NC
  • NPI 1194342931
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1841894607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 L L MOORE RD",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287598766",
            "telephone_number": "828-702-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 BREVARD RD STE 105",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287428809",
            "telephone_number": "828-606-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "19113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "fullcirclemassagetherapy105@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Full Circle Massage Therapy LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "3754 Brevard Rd Ste 105",
            "city": "Horse Shoe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287428809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronald Robert Castellucci, DC
• Larry D Cole, R.PH.
• Shawn Faust, DNP
• Four Circles Recovery Center, LLC
• Full Circle Massage Therapy LLC
• Cori M Gonzalez, L.AC.
• Tom A Gross, DC
• Anna Majzlik Hicks, MD
• Ray Holland II, L.P.C, L.M.H.C.
• Richard Donovan Knapp, ATS, CPHT

• Massage Therapist in Horse Shoe, NC
• Providers in Horse Shoe, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.