Active NPI
Robert Marshall Hendryx, LMT
- Massage Therapist
- Cottonwood, AZ
National Provider Identifier
1992321756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-18808
- Practice address
- 142 S Main St
Cottonwood, AZ 86326-3909 - Phone
- (928) 592-7020
- NPI assigned
- Jun 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | MT-18808 | AZ | Primary |
Addresses
Primary practice location
142 S Main St
Cottonwood, AZ 86326-3909
Mailing address
142 S Main St
Cottonwood, AZ 86326-3909
Phone (928) 592-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT-18808 | Other | AZ | MASSAGE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Robert@verdevalleymfr.com | Direct |
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 |
|---|---|---|---|
| MT-18808 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1992321756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863263909",
"telephone_number": "928-592-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863263909",
"telephone_number": "928-592-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRYX",
"first_name": "ROBERT",
"middle_name": "MARSHALL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-18808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE",
"identifier": "MT-18808",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Robert@verdevalleymfr.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "All",
"address_1": "142 S Main St",
"city": "Cottonwood",
"state": "AZ",
"country_code": "US",
"postal_code": "863263909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.