Maria Rose Ann Demitchell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

015305-2 Issued in NY

Practice address

3444 Williams Rd
Marcellus, NY 13108-9627

Phone

(315) 243-1695

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003316795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 WILLIAMS RD",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131089627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 WILLIAMS RD",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131089627",
            "telephone_number": "315-243-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 State Route 89",
            "address_purpose": "LOCATION",
            "city": "Seneca Falls",
            "state": "NY",
            "postal_code": "131489425",
            "country_code": "US",
            "telephone_number": "315-568-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMITCHELL",
        "first_name": "MARIA",
        "middle_name": "ROSE ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "015305-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Marcellus, NY
• Providers in Marcellus, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.