Active NPI
Emily Terris
- Massage Therapist
- Moab, UT
National Provider Identifier
1881042398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5326959-4701
- Practice address
- 880 S Main St
Moab, UT 84532-2961 - Phone
- (435) 259-0123
- Fax
- (435) 259-0126
- NPI assigned
- May 25, 2016
- Last updated
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 5326959-4701 | UT | |
| Massage Therapist | 225700000X | 5326959-4701 | UT | Primary |
Addresses
Primary practice location
880 S Main St
Moab, UT 84532-2961
Mailing address
PO Box 321
6418 T6 Rd.
Paradox, CO 81429-0321
Phone (970) 986-2424
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 |
|---|---|---|---|
| 5326959-4701 | UT | MD | Reflexologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jlmjr Enterprises | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1881042398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 321",
"address_2": "6418 T6 RD.",
"city": "PARADOX",
"state": "CO",
"postal_code": "814290321",
"telephone_number": "970-986-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S MAIN ST",
"city": "MOAB",
"state": "UT",
"postal_code": "845322961",
"telephone_number": "435-259-0123",
"fax_number": "435-259-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRIS",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "UT",
"license": "5326959-4701",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "5326959-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.