NPIMap

Organization Active NPI

Therapeutic & Pain Management Massage Therapy

  • Massage Therapist
  • Russellville, KY
National Provider Identifier
1902221385
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
KY-3935 Issued in KY
Legal business name
THERAPEUTIC & PAIN MANAGEMENT MASSAGE THERAPY
Practice address
105 Robins Way
Suite 204
Russellville, KY 42276-1129
Phone
(270) 893-8706
Fax
(888) 704-8506
NPI assigned
Feb 21, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rebecca E. Hankins, LMT, MMP
Title
Massage Therapist/Owner
Phone
(270) 893-8706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X KY-3935 KY Primary

Addresses

Primary practice location

105 Robins Way
Suite 204
Russellville, KY 42276-1129

Mailing address

105 Robins Way
Suite 204
Russellville, KY 42276-1129
Phone (270) 893-8706

National Provider Directory

National Provider Directory

Locations

105 Robins Way
Ste 204
Russellville, KY 42276
Phone (270) 893-8706

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1902221385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 204",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-893-8706",
            "fax_number": "888-704-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 204",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-893-8706",
            "fax_number": "888-704-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC & PAIN MANAGEMENT MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "270-893-8706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "KY-3935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.