Active NPI
Clifford W Korn, LMT
- Massage Therapist
- Windham, NH
National Provider Identifier
1053428151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 692M
- Practice address
- 87 Indian Rock Road
Windham, NH 03087-1656 - Phone
- (603) 894-6402
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 692M | NH | Primary |
| Massage Therapist | 225700000X | MA38765 | FL |
Addresses
Primary practice location
87 Indian Rock Road
Windham, NH 03087-1656
Mailing address
87 Indian Rock Road
Windham Health Center
Windham, NH 03087-1656
Phone (603) 894-6402
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA38765 | FL | MD | Massage Therapist |
| 692M | NH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1053428151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 INDIAN ROCK ROAD",
"address_2": "WINDHAM HEALTH CENTER",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871656",
"telephone_number": "603-894-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 INDIAN ROCK ROAD",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871656",
"telephone_number": "603-894-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORN",
"first_name": "CLIFFORD",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NH",
"license": "692M",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA38765",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.