Active NPI
Susan Lynn Rissman, MT
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1962704718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2410
- Practice address
- 1775 S 8TH St
Colorado Springs, CO 80905-7936 - Phone
- (719) 477-6870
- NPI assigned
- Nov 30, 2010
- 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 | 2410 | CO | Primary |
Addresses
Primary practice location
1775 S 8TH St
Colorado Springs, CO 80905-7936
Mailing address
1217 N Cedar St
Colorado Springs, CO 80903-2701
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2410 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Wellness PLLC | Past | Accepting new patients | |
| Great Moves Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1669401238
-
- Multi-Specialty Clinic/Center
- Colorado Springs, CO
- NPI 1134828890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1962704718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 N CEDAR ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809032701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 S 8TH ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809057936",
"telephone_number": "719-477-6870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSMAN",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "2410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.