Organization Active NPI

Advanced Medical Massage & Wellness

  • Homeopath
  • Methuen, MA
National Provider Identifier
1023765864
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
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

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Larry MedoloNPI 1225390362
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)CodeLicenseStatePrimary
HomeopathGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.