Tina Marie Bridges Byaridge, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7097 Issued in TN

Practice address

300 E Vine St
Murfreesboro, TN 37130-4248

Phone

(615) 785-4912

NPI assigned

Sep 10, 2020

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1922613587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 RIVER ROCK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286702",
            "telephone_number": "615-785-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E VINE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304248",
            "telephone_number": "615-785-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYARIDGE",
        "first_name": "TINA",
        "middle_name": "MARIE BRIDGES",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "7097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE BOARD",
            "identifier": "7097",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.