Active NPI
Melissa Michael, LMT
- Massage Therapist
- Scarborough, ME
National Provider Identifier
1003532151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT6663
- Practice address
- 11305 Gateway CT
Scarborough, ME 04074-5555 - Phone
- (207) 712-4137
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- 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 | MT6663 | ME | Primary |
Addresses
Primary practice location
11305 Gateway CT
Scarborough, ME 04074-5555
Mailing address
11305 Gateway CT
Scarborough, ME 04074-5555
Phone (207) 712-4137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT6663 | Other | ME | LMT |
Other names 1
- Melissa Minott
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissamichael@me.com | ||
| Direct Messaging Address | melissamichael@me.com |
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 |
|---|---|---|---|
| MT6663 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1003532151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11305 GATEWAY CT",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040745555",
"telephone_number": "207-712-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11305 GATEWAY CT",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040745555",
"telephone_number": "207-712-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT6663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "MT6663",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissamichael@me.com",
"affiliation": "N",
"address_1": "11305 Gateway Ct",
"city": "Scarborough",
"state": "ME",
"country_code": "US",
"postal_code": "040745555",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissamichael@me.com",
"affiliation": "N",
"address_1": "11305 Gateway Ct",
"city": "Scarborough",
"state": "ME",
"country_code": "US",
"postal_code": "040745555",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MINOTT",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.