Active NPI
Steven Alwyn Bennett, CMT/L
- Massage Therapist
- East Texas (Macungie), PA
National Provider Identifier
1073023347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG003670
- Practice address
- 5620 E. Texas Rd.
East Texas (Macungie), PA 18046 - Phone
- (610) 398-9773
- NPI assigned
- Oct 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG003670 | PA | Primary |
Addresses
Primary practice location
5620 E. Texas Rd.
East Texas (Macungie), PA 18046
Mailing address
14 Five Points Rd
Macungie, PA 18062-8526
Phone (215) 679-6082
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 |
|---|---|---|---|
| MSG003670 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1073023347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 FIVE POINTS RD",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180628526",
"telephone_number": "12156796082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 E. TEXAS RD.",
"city": "EAST TEXAS (MACUNGIE)",
"state": "PA",
"postal_code": "18046",
"telephone_number": "610-398-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "STEVEN",
"middle_name": "ALWYN",
"credential": "CMT/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-02",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG003670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Texas (Macungie), PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.