Active NPI
Advanced Medical Massage & Wellness
- Homeopath
- Methuen, MA
National Provider Identifier
1023765864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- Legal business name
- ADVANCED MEDICAL MASSAGE & WELLNESS
- Practice address
- 184 Pleasant Valley St Ste 1-204
Methuen, MA 01844-5855 - Phone
- (978) 935-1390
- Fax
- (978) 737-3510
- NPI assigned
- Mar 2, 2022
- 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
- Larry Medolo
- Title
- Owner/ Operator
- Phone
- (978) 935-1390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homeopath | 175L00000X | Primary |
Addresses
Primary practice location
184 Pleasant Valley St Ste 1-204
Methuen, MA 01844-5855
Mailing address
184 Pleasant Valley St Ste 1-204
Methuen, MA 01844-5855
Phone (978) 935-1390
National Provider Directory
National Provider DirectoryLocations
184 Pleasant Valley St
Ste 1-204
Methuen, MA 01844
Phone (978) 935-1390
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Homeopath
- Methuen, MA
- NPI 1225390362
-
- Homeopath
- Methuen, MA
- NPI 1932035029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1023765864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 PLEASANT VALLEY ST STE 1-204",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445855",
"telephone_number": "978-935-1390",
"fax_number": "978-737-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 PLEASANT VALLEY ST STE 1-204",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445855",
"telephone_number": "978-935-1390",
"fax_number": "978-737-3510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MEDICAL MASSAGE & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "MEDOLO",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "OWNER/ OPERATOR",
"authorized_official_telephone_number": "978-935-1390"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.