Rachel Lynn Perry, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

003978 Issued in CT

Practice address

148 RT 100 Mountain Styles
West Dover, VT 05356

Phone

(802) 379-8840

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1124603774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "WEST DOVER",
            "state": "VT",
            "postal_code": "053560541",
            "telephone_number": "802-379-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 RT 100 MOUNTAIN STYLES",
            "city": "WEST DOVER",
            "state": "VT",
            "postal_code": "05356",
            "telephone_number": "802-379-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "003978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "003978",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rachelperrymobilemassage.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any information private source",
            "address_1": "148 Rt 100 Mountain Styles",
            "city": "West Dover",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Axman, L.C.S.W.
• Sindy Lee Hassig, MSPT
• Mountain Sports Medicine, Inc.
• Jason W Naylor, LMFT
• Southwestern Vermont Health Care Enterprises
• Southwestern Vermont Medical Center, Inc (SVMC Mountain Medical Services)
• Zomar Inc (Marci Himelson)

• Massage Therapist in West Dover, VT
• Providers in West Dover, VT by specialty
• Massage Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.