Active NPI
Patricia Marble, L.M.T.
- Massage Therapist
- Storrs, CT
National Provider Identifier
1124446935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8036
- Practice address
- 46 King Hill Rd
Storrs, CT 06268-1759 - Phone
- (860) 429-8106
- NPI assigned
- Mar 31, 2014
- 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 | 8036 | CT | Primary |
Addresses
Primary practice location
46 King Hill Rd
Storrs, CT 06268-1759
Mailing address
590 Ash St
Willimantic, CT 06226-1424
Phone (860) 617-6886
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 |
|---|---|---|---|
| 8036 | CT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantis Therapeutic Massage LLC | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Massage Therapist
- Storrs Mansfield, CT
- NPI 1619280724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1124446935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 ASH ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062261424",
"telephone_number": "860-617-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 KING HILL RD",
"city": "STORRS",
"state": "CT",
"postal_code": "062681759",
"telephone_number": "860-429-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARBLE",
"first_name": "PATRICIA",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "8036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storrs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.