Active NPI
Adam Nelson, LMT
- Massage Therapist
- Idaho Falls, ID
National Provider Identifier
1982187944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-3176
- Practice address
- 2450 E 25TH St Ste C
Idaho Falls, ID 83404-7577 - Phone
- (208) 656-5858
- Fax
- (208) 549-7575
- NPI assigned
- Sep 14, 2018
- Sex
- Male
- 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 | MAS-3176 | ID | Primary |
Addresses
Primary practice location
2450 E 25TH St Ste C
Idaho Falls, ID 83404-7577
Mailing address
2450 E 25TH St Ste C
Idaho Falls, ID 83404-7577
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 |
|---|---|---|---|
| MAS-3176 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Holdings, LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Idaho Falls, ID
- NPI 1841655131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1982187944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 E 25TH ST STE C",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 E 25TH ST STE C",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047577",
"telephone_number": "208-656-5858",
"fax_number": "208-549-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ADAM",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-3176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.