Kelly Ann De la Cruz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

008797 Issued in CT

Practice address

2257 Silas Deane Hwy
Rocky Hill, CT 06067-2328

Phone

(860) 538-4358

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1033718887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 MIDDLETOWN AVE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093824",
            "telephone_number": "860-538-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672328",
            "telephone_number": "860-538-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "008797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khyati Dalal, FNP-C
• Michael Dalena, P.T.A.
• Chad Daniel, M.D.
• Dajavon Davis-Phillips, LMFT
• Demetress Latrice Davis, DDS MDS
• Janice De Leon
• Jessica Decarli, OTR/L
• Ariana Deeley, LICSW
• Jerrica Dell'Aera, LCSW
• Joy Denardo

• Massage Therapist in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.