NPIMap

Organization Active NPI

Advanced Therapeutic Massage

  • Massage Therapist
  • Lakewood, CO
National Provider Identifier
1851664213
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4244 Issued in CO
Legal business name
ADVANCED THERAPEUTIC MASSAGE
Practice address
1701 Kipling St Ste 105
Lakewood, CO 80215-2848
Phone
(720) 335-1118
Fax
(303) 238-5553
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Candace RoisumNPI 1538432000
Title
Massage Therapist
Phone
(720) 335-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 4244 CO Primary

Addresses

Primary practice location

1701 Kipling St Ste 105
Lakewood, CO 80215-2848

Mailing address

1701 Kipling St Ste 105
Lakewood, CO 80215-2848
Phone (720) 335-1118

National Provider Directory

National Provider Directory

Locations

1701 Kipling St
Ste 105
Lakewood, CO 80215
Phone (303) 238-0545

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1851664213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 KIPLING ST STE 105",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152848",
            "telephone_number": "720-335-1118",
            "fax_number": "303-238-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 KIPLING ST STE 105",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152848",
            "telephone_number": "720-335-1118",
            "fax_number": "303-238-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "ROISUM",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "720-335-1118",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "4244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.