My Massage Sanctuary, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

227.003938 Issued in IL

Legal business name

MY MASSAGE SANCTUARY, INC

Practice address

101 North Alpine Road
Rockford, IL 61107

Phone

(779) 423-1700

Fax

(866) 596-1027

NPI assigned

Mar 19, 2009

Organization subpart

No

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

Authorized official

Name

Leila I Kayser, CEONPI 1699952812

Title

Ceo

Phone

(815) 301-7809

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leila Imogene Kayser, LMT

  • Specialist
  • Rockford, IL
  • NPI 1699952812
  NPD (past) Authorized official
• Anna Elaine Consolacion, RPT

  • Physical Therapist
  • Rockford, IL
  • NPI 1891046249
  NPD (past)
• Arturo Laforteza Lazaro, PT

  • Orthopedic Physical Therapist
  • Rockford, IL
  • NPI 1568749000
  NPD (past)

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1962643072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NORTH ALPINE ROAD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61107",
            "telephone_number": "779-423-1700",
            "fax_number": "866-596-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH ALPINE ROAD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61107",
            "telephone_number": "779-423-1700",
            "fax_number": "866-596-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MASSAGE SANCTUARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "KAYSER",
        "authorized_official_first_name": "LEILA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-301-7809",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "227.003938",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "198.000709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney L Musser, DPT
• Mohammad Asim Mustafa, M.D.
• Beth Marie Mutton, LCPC,CADC,SAP
• Sophia Muzzarelli
• My First Words, Inc.
• Greg Myer, N.P
• John Carlton Myers, M.D.
• Lance Avery Myers, D.C.
• Nicole Lynn Myers, LCPC
• Karyssa Myhres, BCBA

• Specialist in Rockford, IL
• Providers in Rockford, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.