Individual provider Active NPI

Tammy Cornwell

  • Massage Therapist
  • Rapid City, SD
National Provider Identifier
1932845708
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT11664 Issued in MT
Practice address
2525 W Main St Ste 210
Rapid City, SD 57702-2439
Phone
(605) 399-2273
NPI assigned
May 5, 2022
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT11664 MT Primary

Addresses

Primary practice location

2525 W Main St Ste 210
Rapid City, SD 57702-2439

Mailing address

2525 W Main St Ste 210
Rapid City, SD 57702-2439
Phone (605) 399-2273

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

LicenseStateTypeSpecialty
MT11664MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Psychology, LLC CurrentSince Apr 21, 2024 Accepting new patients
Bahr Chiropractic Wellness Center LLC PastSince May 8, 2022 Accepting new patients

Locations

2525 W Main St
Ste 210
Rapid City, SD 57702
Phone (605) 399-2273

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1932845708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 210",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022439",
            "telephone_number": "605-399-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 210",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022439",
            "telephone_number": "605-399-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "TAMMY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "MT11664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.