Active NPI
Susan Eileen Webster, LMT
- Massage Therapist
- Boothbay Harbor, ME
National Provider Identifier
1104093079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT941
- Practice address
- 18 West St
Boothbay Harbor, ME 04538-1849 - Phone
- (207) 633-5500
- Fax
- (207) 633-0805
- NPI assigned
- May 10, 2008
- 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 | MT941 | ME | Primary |
Addresses
Primary practice location
18 West St
Boothbay Harbor, ME 04538-1849
Mailing address
18 West St
Boothbay Harbor, ME 04538-1849
Phone (207) 633-5500
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 |
|---|---|---|---|
| MT941 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210377600000",
"number": "1104093079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 WEST ST",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381849",
"telephone_number": "207-633-5500",
"fax_number": "207-633-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 WEST ST",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381849",
"telephone_number": "207-633-5500",
"fax_number": "207-633-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "SUSAN",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-10",
"last_updated": "2008-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boothbay Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.