Active NPI
Ivy McEntire, MMP
- Massage Therapist
- Greenville, SC
National Provider Identifier
1841898541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6088
- Practice address
- 3519 Pelham Rd
Greenville, SC 29615-4181 - Phone
- (864) 205-9029
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- 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 | 6088 | SC | Primary |
Addresses
Primary practice location
3519 Pelham Rd
Greenville, SC 29615-4181
Mailing address
101 Bankside LN
Greenville, SC 29609-1470
Phone (864) 205-9029
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 |
|---|---|---|---|
| 6088 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1841898541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BANKSIDE LN",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296091470",
"telephone_number": "864-205-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154181",
"telephone_number": "864-205-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENTIRE",
"first_name": "IVY",
"credential": "MMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "6088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.