NPIMap

Organization Active NPI

Transitions Bodywork Clinic Inc.

  • Massage Therapist
  • Pueblo, CO
National Provider Identifier
1992198261
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0006794 Issued in CO
Legal business name
TRANSITIONS BODYWORK CLINIC INC.
Practice address
2310 S Prairie Ave
Pueblo, CO 81005-4801
Phone
(719) 242-7263
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mr. Tad Dorsey Childers, LMTNPI 1083987762
Title
Ceo
Phone
(719) 242-7263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT.0006794 CO Primary

Addresses

Primary practice location

2310 S Prairie Ave
Pueblo, CO 81005-4801

Mailing address

2310 S Prairie Ave
Pueblo, CO 81005-4801
Phone (719) 242-7263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1992198261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810054801",
            "telephone_number": "719-242-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810054801",
            "telephone_number": "719-242-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS BODYWORK CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "DORSEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-242-7263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0006794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.