Active NPI
Donald Flynn, MT
- Massage Therapist
- Grand Junction, CO
National Provider Identifier
1881116754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0016901
- Practice address
- 514 28 1/4 Rd Unit 4
Grand Junction, CO 81501-4961 - Phone
- (970) 644-5255
- Fax
- (970) 644-5255
- NPI assigned
- Jul 12, 2017
- Sex
- Male
- 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 | 0016901 | CO | Primary |
Addresses
Primary practice location
514 28 1/4 Rd Unit 4
Grand Junction, CO 81501-4961
Mailing address
2458 Thunder Mountain Dr Unit 412
Grand Junction, CO 81505-4856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT.0016901 | Other | CO | MASSAGE THERAPY LICENSE |
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016901 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1881116754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2458 THUNDER MOUNTAIN DR UNIT 412",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815054856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 28 1/4 RD UNIT 4",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014961",
"telephone_number": "970-644-5255",
"fax_number": "970-644-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "DONALD",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0016901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY LICENSE",
"identifier": "MT.0016901",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.