Rashid Dion Nettles

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

032644 Issued in NY

Practice address

2550 Adam Clayton Powell Jr Blvd Apt 2C148Th
New York, NY 10039-3542

Phone

(212) 690-0441

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1932867546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ADAM CLAYTON POWELL JR BLVD APT 2C148TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393542",
            "telephone_number": "212-690-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ADAM CLAYTON POWELL JR BLVD APT 2C148TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393542",
            "telephone_number": "212-690-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "RASHID",
        "middle_name": "DION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Net 30, Inc.
• Net 30, Inc.
• Audrey Nethersole
• Christiana Laura Netland
• Stephanie Neto
• Julissa Netupsky, MD
• Network Chiropractic & Wellness Care, LLC
• Iris Miriam Netzer-Greenfield, LAC
• Dalton Neu, PA-C
• Natalie Neu, MD

• Massage Therapist in New York, NY
• Providers in New York, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.