Active NPI
Nicholas Eugene Faulkner
- Massage Therapist
- Charlton, MA
National Provider Identifier
1104738426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24011228-MT-MT
- Practice address
- 113 Richardson Corner Rd
Charlton, MA 01507-1431 - Phone
- (774) 230-5173
- Fax
- (774) 230-5173
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Sex
- Male
- 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 | 24011228-MT-MT | MA | Primary |
Addresses
Primary practice location
113 Richardson Corner Rd
Charlton, MA 01507-1431
Mailing address
PO Box 90
Charlton, MA 01507-0090
Phone (774) 230-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1104738426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015070090",
"telephone_number": "774-230-5173",
"fax_number": "774-230-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 RICHARDSON CORNER RD",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015071431",
"telephone_number": "774-230-5173",
"fax_number": "774-230-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "NICHOLAS",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "24011228-MT-MT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.