Individual provider Active NPI

Gina Paola Alvarado Paz Nunez

  • Massage Therapist
  • Cromwell, CT
National Provider Identifier
1043945165
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
29.008385 Issued in CT
Practice address
1 Debra CT # 1
Cromwell, CT 06416-1827
Phone
(203) 953-9421
NPI assigned
Jul 21, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 29.008385 CT Primary

Addresses

Primary practice location

1 Debra CT # 1
Cromwell, CT 06416-1827

Mailing address

1 Debra CT # 1
Cromwell, CT 06416-1827
Phone (203) 953-9421

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ginapaola@massagetherapy.com Direct

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
29.008385CTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043945165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEBRA CT # 1",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161827",
            "telephone_number": "203-953-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEBRA CT # 1",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161827",
            "telephone_number": "203-953-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO PAZ NUNEZ",
        "first_name": "GINA",
        "middle_name": "PAOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "29.008385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ginapaola@massagetherapy.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Professional/Insurance Email",
            "address_1": "1 Debra Ct # 1",
            "city": "Cromwell",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064161827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.