The Center for Therapeutic Bodywork, LLC.

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

26BT00102200 Issued in NJ

Legal business name

THE CENTER FOR THERAPEUTIC BODYWORK, LLC.

Doing business as

Mary M. Ryan

Practice address

96 E Main St
Rockaway, NJ 07866-3524

Phone

(973) 891-1733

Fax

(973) 891-1734

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary M Ryan, MT

Title

Owner

Phone

(973) 891-1733

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mary M. Ryan Doing business as

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1063650810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 E MAIN ST",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663524",
            "telephone_number": "973-891-1733",
            "fax_number": "973-891-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E MAIN ST",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663524",
            "telephone_number": "973-891-1733",
            "fax_number": "973-891-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR THERAPEUTIC BODYWORK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-891-1733",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "NJ",
            "license": "26BT00102200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REFLEXOLOGIST",
            "identifier": "173C00000X",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "225700000X",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOLISTIC",
            "identifier": "364SH1100X",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "174400000X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary M. Ryan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Reflexologist in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Reflexologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.