Individual provider Active NPI

Kathy D Letterman, LMT-NJ, BCTMB

  • Massage Therapist
  • Hillsborough, NJ
National Provider Identifier
1144962515
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00069500 Issued in NJ
Practice address
601A Omni Dr
Hillsborough, NJ 08844-4538
Phone
(908) 359-5777
NPI assigned
Apr 7, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00069500 NJ Primary

Addresses

Primary practice location

601A Omni Dr
Hillsborough, NJ 08844-4538

Mailing address

601A Omni Dr
Hillsborough, NJ 08844-4538
Phone (908) 359-5777

Other identifiers 2

IdentifierTypeStateIssuer
2000510OtherNATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
18KT00069500OtherNJMASSAGE LICENSE ISSUED BY NJ BOARD OF MASSAGE AND BODYWORK THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@hillsboroughmassage.com Direct

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

LicenseStateTypeSpecialty
18KT00069500NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsborough Massage Therapy LLC Massage Therapist CurrentSince Apr 10, 2022 Accepting new patients

Locations

601A Omni Dr
Hillsborough, NJ 08844
Phone (908) 359-5777

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1144962515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601A OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444538",
            "telephone_number": "908-359-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444538",
            "telephone_number": "908-359-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTERMAN",
        "first_name": "KATHY",
        "middle_name": "D",
        "credential": "LMT-NJ, BCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00069500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK",
            "identifier": "2000510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE ISSUED BY NJ BOARD OF MASSAGE AND BODYWORK THERAPY",
            "identifier": "18KT00069500",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hillsboroughmassage.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601A Omni Dr",
            "city": "Hillsborough",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088444538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.