Active NPI
D.R. Muscle Rehab & Massage Therapy
- Mechanotherapist
- Newport, ME
National Provider Identifier
1023315488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT 651
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 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 DirectoryNPI 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.