Kim Grondin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT1909 Issued in ME

Practice address

20 North Ave Unit 1
Skowhegan, ME 04976-1830

Phone

(207) 313-2762

NPI assigned

Aug 29, 2022

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 names 1

• Ms. Kim Grondin Professional name

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1154041317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NORTH AVE UNIT 1",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761830",
            "telephone_number": "207-313-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTH AVE UNIT 1",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761830",
            "telephone_number": "207-313-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDIN",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "GRONDIN",
            "prefix": "MS.",
            "credential": "MASSAGE THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Abhishekh Satyanand Govind, M.D.
• Lyn Govoni, M.S., CCC-SLP
• Jessica L Graf, P.T.A.
• Antonio M Granda, M.D.
• Rachel Lee Grant, LSW
• Laura Gurenlian, DO
• Deborah Henderson Gurney, LSW
• Hannaford Bros Co LLC
• Harmony Osteopathic & Acupuncture, LLC
• Lynne A Haskins, MASSAGE THERAPIST

• Massage Therapist in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.