M.E. Massage Therapy, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

M.E. MASSAGE THERAPY, LLC

Practice address

185 Webster St Ste 14a
Lewiston, ME 04240

Phone

(207) 240-6415

NPI assigned

Jun 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Misty Edgecomb, LMTNPI 1952653644

Title

Owner

Phone

(207) 240-6415

Specialties & licenses 1

Addresses

Other names 1

• M.E. Massge Therapy Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Misty Edgecomb, LMT

  • Massage Therapist
  • Lewiston, ME
  • NPI 1952653644
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124549167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WEBSTER ST STE 14A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405500",
            "telephone_number": "207-240-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WEBSTER ST STE 14A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-240-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.E. MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDGECOMB",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-240-6415",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.E. Massge Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "M.E. Massge Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kimberly Lyons, OTR/L
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• Alyssa Joanna Macdonald, OTR/L
• Jenna Macdonald
• Amanda Leigh Mackellar, RN
• Elizabeth J Madore, DO

• Health Maintenance Organization in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Health Maintenance Organization in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.