Tracie O'Keefe, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT2486 Issued in ME

Practice address

Saco Healing Arts Center
209 Main Street, Suite 301
Saco, ME 04072

Phone

(207) 229-3435

NPI assigned

Jun 12, 2006

Last updated

Jan 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1043252315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HIGHLAND ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052106",
            "telephone_number": "207-229-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SACO HEALING ARTS CENTER",
            "address_2": "209 MAIN STREET, SUITE 301",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-229-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MassageCraft",
            "address_2": "311 Alfred Street",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "04005",
            "country_code": "US",
            "telephone_number": "207-286-8416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "TRACIE",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "MT2486",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT2486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "079097",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Saco, ME
• Providers in Saco, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.