Active NPI
Tekla Renee Bedwell, NCTMB
- Massage Therapist
- Indianapolis, IN
National Provider Identifier
1891047643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 618108-12
- Practice address
- 7855 S Emerson Ave Ste W
Indianapolis, IN 46237-8669 - Phone
- (317) 889-5340
- Fax
- (317) 889-5711
- NPI assigned
- Oct 3, 2012
- Last updated
- Oct 3, 2012
- Sex
- Female
- 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 | 618108-12 | IN | Primary |
Addresses
Primary practice location
7855 S Emerson Ave Ste W
Indianapolis, IN 46237-8669
Mailing address
7855 S Emerson Ave Ste W
Indianapolis, IN 46237-8669
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 |
|---|---|---|---|
| 618108-12 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1891047643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 S EMERSON AVE STE W",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 S EMERSON AVE STE W",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378669",
"telephone_number": "317-889-5340",
"fax_number": "317-889-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDWELL",
"first_name": "TEKLA",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "NCTMB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "618108-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.