Active NPI
Desiree Maire Geroux, MASSAGE THERAPIST
- Massage Therapist
- East York, PA
National Provider Identifier
1093545550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG013189
- Practice address
- 2300 E Market St Ste 206
East York, PA 17402-2858 - Phone
- (410) 458-4257
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- 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 | MSG013189 | PA | Primary |
Addresses
Primary practice location
2300 E Market St Ste 206
East York, PA 17402-2858
Mailing address
42 Virginia Ave
Shrewsbury, PA 17361-1911
Phone (410) 458-4257
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 |
|---|---|---|---|
| MSG013189 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1093545550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 VIRGINIA AVE",
"city": "SHREWSBURY",
"state": "PA",
"postal_code": "173611911",
"telephone_number": "410-458-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E MARKET ST STE 206",
"city": "EAST YORK",
"state": "PA",
"postal_code": "174022858",
"telephone_number": "410-458-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEROUX",
"first_name": "DESIREE",
"middle_name": "MAIRE",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG013189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.