Active NPI
Rustie Marie Nelson
- Massage Therapist
- Springfield, IL
National Provider Identifier
1962201566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.020805
- Practice address
- 2800 Montaluma Dr
Springfield, IL 62704-6900 - Phone
- (309) 333-4678
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 227.020805 | IL | Primary |
Addresses
Primary practice location
2800 Montaluma Dr
Springfield, IL 62704-6900
Mailing address
5 Candletree Dr Apt 8
Springfield, IL 62704-8036
Phone (309) 333-4678
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 |
|---|---|---|---|
| 227.020805 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1962201566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CANDLETREE DR APT 8",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627048036",
"telephone_number": "309-333-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MONTALUMA DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046900",
"telephone_number": "309-333-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RUSTIE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.020805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.