Organization Active NPI

D.R. Muscle Rehab & Massage Therapy

  • Mechanotherapist
  • Newport, ME
National Provider Identifier
1023315488
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MT 651 Issued in ME
Legal business name
D.R. MUSCLE REHAB & MASSAGE THERAPY
Practice address
139 Elm St
Newport, ME 04953-3123
Phone
(207) 570-8304
Fax
(207) 990-6604
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Debra Lynn Smith, LMT
Title
President
Phone
(207) 570-8304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X MT 651 ME Primary

Addresses

Primary practice location

139 Elm St
Newport, ME 04953-3123

Mailing address

139 Elm St
Newport, ME 04953-3123
Phone (207) 570-8304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1023315488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ELM ST",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049533123",
            "telephone_number": "207-570-8304",
            "fax_number": "207-990-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ELM ST",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049533123",
            "telephone_number": "207-570-8304",
            "fax_number": "207-990-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.R. MUSCLE REHAB & MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-570-8304",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "ME",
            "license": "MT 651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.