Individual provider Active NPI

Margaret Rose-Andria Granzella, L.M.T

  • Massage Therapist
  • Meeker, CO
National Provider Identifier
1942531827
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0015124 Issued in CO
Practice address
594 Main St.
Ste. 25
Meeker, CO 81641
Phone
(970) 942-9709
NPI assigned
Jan 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 15321 OR
Massage Therapist 225700000X 0015124 CO Primary

Addresses

Primary practice location

594 Main St.
Ste. 25
Meeker, CO 81641

Mailing address

PO Box 1207
Meeker, CO 81641-1207
Phone (970) 942-9709

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
0015124COMDMassage Therapist
15321ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1942531827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816411207",
            "telephone_number": "970-942-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 MAIN ST.",
            "address_2": "STE. 25",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "81641",
            "telephone_number": "970-942-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANZELLA",
        "first_name": "MARGARET",
        "middle_name": "ROSE-ANDRIA",
        "name_prefix": "Miss",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "15321",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0015124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meeker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.