NPIMap

Organization Active NPI

Restore & Renew Medical Massage

  • Massage Therapist
  • Lewisburg, WV
National Provider Identifier
1972925337
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2001-1648 Issued in WV
Legal business name
RESTORE & RENEW MEDICAL MASSAGE
Practice address
318 W. Washington St.
Suite B
Lewisburg, WV 24901-1316
Phone
(304) 647-3233
NPI assigned
Jan 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Jamie C Ewing, LMT, PTA
Title
Owner
Phone
(304) 647-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2001-1648 WV Primary

Addresses

Primary practice location

318 W. Washington St.
Suite B
Lewisburg, WV 24901-1316

Mailing address

318 W. Washington St.
Suite B
Lewisburg, WV 24901-1316
Phone (304) 647-3233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1972925337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W. WASHINGTON ST.",
            "address_2": "SUITE B",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011316",
            "telephone_number": "304-647-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W. WASHINGTON ST.",
            "address_2": "SUITE B",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011316",
            "telephone_number": "304-647-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE & RENEW MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-647-3233",
        "authorized_official_credential": "LMT, PTA"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2001-1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.