Individual provider Active NPI

Tiffany Rose Knighten, CMT

  • Massage Therapist
  • Douglas, WY
National Provider Identifier
1861619793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
1510 E Richards St
Douglas, WY 82633-2941
Phone
(307) 351-1711
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X WY Primary

Addresses

NPPES NPI Registry

Primary practice location

1510 E Richards St
Douglas, WY 82633-2941

Mailing address

1312 Caspar CT
Douglas, WY 82633-2856
Phone (307) 351-1711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861619793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 CASPAR CT",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332856",
            "telephone_number": "307-351-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RICHARDS ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332941",
            "telephone_number": "307-351-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTEN",
        "first_name": "TIFFANY",
        "middle_name": "ROSE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.