Active NPI
Kassie Overton, LMT
- Massage Therapist
- Pueblo, CO
National Provider Identifier
1881571537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0027743
- Practice address
- 740 W 15TH St
Pueblo, CO 81003-2107 - Phone
- (719) 470-0753
- NPI assigned
- Aug 16, 2025
- Last updated
- Aug 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0027743 | CO | Primary |
Addresses
Primary practice location
740 W 15TH St
Pueblo, CO 81003-2107
Mailing address
826 W 22ND St
Pueblo, CO 81003-1825
Phone (903) 787-1962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT.0027743 | Other | CO | OFFICE OF MASSAGE THERAPY LICENSURE |
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 |
|---|---|---|---|
| MT.0027743 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755302400000",
"number": "1881571537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 W 22ND ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810031825",
"telephone_number": "903-787-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 W 15TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032107",
"telephone_number": "719-470-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERTON",
"first_name": "KASSIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-16",
"last_updated": "2025-08-16",
"certification_date": "2025-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0027743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF MASSAGE THERAPY LICENSURE",
"identifier": "MT.0027743",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.