Organization Active NPI

Edgework Body Therapy

  • Massage Therapist
  • Charlotte, NC
National Provider Identifier
1912501651
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
EDGEWORK BODY THERAPY
Practice address
118 E Kingston Ave Ste 36
Charlotte, NC 28203-4772
Phone
(704) 569-5489
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Patty Vo, LMBTNPI 1144824889
Title
Massage Therapist
Phone
(704) 728-3031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

118 E Kingston Ave Ste 36
Charlotte, NC 28203-4772

Mailing address

215 Nottingham Dr
Huntersville, NC 28078-9052
Phone (704) 728-3031

National Provider Directory

National Provider Directory

Locations

118 E Kingston Ave
Ste 36
Charlotte, NC 28203
Phone (704) 569-5489

Practitioners & affiliated clinicians

Practitioners 1

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": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1912501651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NOTTINGHAM DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789052",
            "telephone_number": "704-728-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E KINGSTON AVE STE 36",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034772",
            "telephone_number": "704-569-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWORK BODY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "704-728-3031",
        "authorized_official_credential": "LMBT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.