Active NPI
Rebecca Denise Larose
- Massage Therapist
- East Providence, RI
National Provider Identifier
1144708124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT01728
- Practice address
- 201 Waterman Ave
East Providence, RI 02914-3522 - Phone
- (401) 489-9184
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | MT01728 | RI | Primary |
Addresses
Primary practice location
201 Waterman Ave
East Providence, RI 02914-3522
Mailing address
20 May St
Blackstone, MA 01504-1821
Phone (401) 489-9184
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 |
|---|---|---|---|
| MT01728 | RI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1144708124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MAY ST",
"city": "BLACKSTONE",
"state": "MA",
"postal_code": "015041821",
"telephone_number": "401-489-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WATERMAN AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143522",
"telephone_number": "401-489-9184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "REBECCA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "RI",
"license": "MT01728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.