Active NPI
Doreen Holmes
- Massage Therapist
- Topsham, ME
National Provider Identifier
1114162880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT3973
- Practice address
- 5 Main St
Suite One
Topsham, ME 04086-1216 - Phone
- (207) 721-9400
- Fax
- (207) 721-9405
- NPI assigned
- Dec 10, 2008
- Last updated
- Dec 10, 2008
- 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 | MT3973 | ME | Primary |
Addresses
Primary practice location
5 Main St
Suite One
Topsham, ME 04086-1216
Mailing address
5 Main St
Suite One
Topsham, ME 04086-1216
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 |
|---|---|---|---|
| MT3973 | ME | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Therapy, LLC | Massage Therapist | Current | Accepting new patients |
Locations
5 Main St
Ste One
Topsham, ME 04086
Phone (207) 721-9400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1114162880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MAIN ST",
"address_2": "SUITE ONE",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MAIN ST",
"address_2": "SUITE ONE",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861216",
"telephone_number": "207-721-9400",
"fax_number": "207-721-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "DOREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT3973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topsham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.