Active NPI
Kimberly Fish, LMT
- Massage Therapist
- Sanford, ME
National Provider Identifier
1033925953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2780
- Practice address
- 21 Daigle LN Ste 101
Sanford, ME 04073-3939 - Phone
- (207) 558-8482
- NPI assigned
- Dec 5, 2024
- 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 | 2780 | NH | Primary |
Addresses
Primary practice location
21 Daigle LN Ste 101
Sanford, ME 04073-3939
Mailing address
PO Box 148
Sanbornville, NH 03872-0148
Phone (603) 969-4815
Other practice location 1
8 Elm Street
Wolfeboro, NH 03894
Phone (603) 326-1251
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1033925953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "SANBORNVILLE",
"state": "NH",
"postal_code": "038720148",
"telephone_number": "603-969-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 DAIGLE LN STE 101",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733939",
"telephone_number": "207-558-8482"
}
],
"practiceLocations": [
{
"address_1": "8 Elm Street",
"address_purpose": "LOCATION",
"city": "Wolfeboro",
"state": "NH",
"postal_code": "03894",
"country_code": "US",
"telephone_number": "603-326-1251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISH",
"first_name": "KIMBERLY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NH",
"license": "2780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.