Active NPI
Maria Maisano, LMT
- Massage Therapist
- Richmond, VA
National Provider Identifier
1104480649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019016894
- Practice address
- 3536 Grove Ave
Richmond, VA 23221-2200 - Phone
- (804) 673-9355
- Fax
- (804) 359-8344
- NPI assigned
- Apr 30, 2019
- 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 | 0019016894 | VA | Primary |
Addresses
Primary practice location
3536 Grove Ave
Richmond, VA 23221-2200
Mailing address
2916 Bywater Dr Apt 231
Henrico, VA 23233-6603
Phone (631) 495-8083
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 |
|---|---|---|---|
| 0019016894 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1104480649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 BYWATER DR APT 231",
"city": "HENRICO",
"state": "VA",
"postal_code": "232336603",
"telephone_number": "631-495-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 GROVE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232212200",
"telephone_number": "804-673-9355",
"fax_number": "804-359-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISANO",
"first_name": "MARIA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019016894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.