Individual provider Active NPI

Marie-Noelle Connaughton, CMT

  • Massage Therapist
  • Fairfax, VA
National Provider Identifier
1043614381
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019009932 Issued in VA
Practice address
4023 Chain Bridge Rd
Arcadia Massage
Fairfax, VA 22030-4108
Phone
(571) 269-4732
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019009932 VA Primary

Addresses

Primary practice location

4023 Chain Bridge Rd
Arcadia Massage
Fairfax, VA 22030-4108

Mailing address

4015 Stonewall Ave
Fairfax, VA 22032-1016
Phone (571) 269-4732

Other identifiers 1

IdentifierTypeStateIssuer
0019009932OtherVACERTIFIED MASSAGE THERAPIST

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

State licenses

LicenseStateTypeSpecialty
0019009932VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1043614381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 STONEWALL AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321016",
            "telephone_number": "571-269-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 CHAIN BRIDGE RD",
            "address_2": "ARCADIA MASSAGE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304108",
            "telephone_number": "571-269-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNAUGHTON",
        "first_name": "MARIE-NOELLE",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019009932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MASSAGE THERAPIST",
            "identifier": "0019009932",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.