Active NPI
Pamela Lee Hines, LMT
- Massage Therapist
- Gray, ME
National Provider Identifier
1104524172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT3901
- Practice address
- 288B Mayall Rd
Gray, ME 04039-9548 - Phone
- (207) 358-9498
- Fax
- (207) 344-0603
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | MT3901 | ME | Primary |
Addresses
Primary practice location
288B Mayall Rd
Gray, ME 04039-9548
Mailing address
288B Mayall Rd
Gray, ME 04039-9548
Phone (207) 358-9498
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 |
|---|---|---|---|
| MT3901 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1104524172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288B MAYALL RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040399548",
"telephone_number": "207-358-9498",
"fax_number": "207-344-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288B MAYALL RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040399548",
"telephone_number": "207-358-9498",
"fax_number": "207-344-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "PAMELA",
"middle_name": "LEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT3901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.