Selene Johnson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11942 Issued in SD

Practice address

429 Kansas City St Ste 1B
Rapid City, SD 57701-3668

Phone

(605) 545-7591

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Movement for Life Massage, LLC

  • Health Service Clinic/Center
  • Rapid City, SD
  • NPI 1366295453
  NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1992564157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 KANSAS CITY ST STE 1B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013668",
            "telephone_number": "605-545-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 KANSAS CITY ST STE 1B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013668",
            "telephone_number": "605-545-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nano Johnson, PT
• Nicole Elisabeth Johnson, CNP
• Ross Lawrence Johnson, DDS, MSD
• Rylan J Johnson, DPM
• Sarah Mae Johnson, NP-C
• Sheila Renee Johnson, CSW-PIP
• Shelby Johnson
• Sydney Elizabeth Johnson
• Tara Johnson
• Wesley David Johnson, CCDC II

• Massage Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.