Active NPI
Claire Marie Mastromonaco, LMT
- Massage Therapist
- Bridgeport, CT
National Provider Identifier
1023720232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 001022
- Practice address
- 111 West Pkwy
Bridgeport, CT 06604-1929 - Phone
- (203) 367-8555
- NPI assigned
- Dec 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 | 001022 | CT | Primary |
Addresses
Primary practice location
111 West Pkwy
Bridgeport, CT 06604-1929
Mailing address
111 West Pkwy
Bridgeport, CT 06604-1929
Phone (626) 725-0058
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 |
|---|---|---|---|
| 001022 | CT | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1023720232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WEST PKWY",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066041929",
"telephone_number": "626-725-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WEST PKWY",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066041929",
"telephone_number": "203-367-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROMONACO",
"first_name": "CLAIRE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "001022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.