Active NPI
Pamela Quinn
- Massage Therapist
- Great Falls, MT
National Provider Identifier
1942984885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT-LMT-LIC-2654
- Practice address
- 1400 1St Ave N
Great Falls, MT 59401-3205 - Phone
- (406) 799-3557
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-LMT-LIC-2654 | MT | Primary |
Addresses
Primary practice location
1400 1St Ave N
Great Falls, MT 59401-3205
Mailing address
PO Box 244
Great Falls, MT 59403-0244
Other practice location 1
500 10th Ave SW
Great Falls, MT 59404-3308
Phone (406) 799-3557
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-LMT-LIC-2654 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1942984885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 244",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594030244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 1ST AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013205",
"telephone_number": "406-799-3557"
}
],
"practiceLocations": [
{
"address_1": "500 10th Ave SW",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594043308",
"country_code": "US",
"telephone_number": "406-799-3557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "LMT-LMT-LIC-2654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.