Active NPI
Melissa Ann Coulson
- Massage Therapist
- Milford, CT
National Provider Identifier
1154914612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 003048
- Practice address
- 45 Sherbrook Rd
Milford, CT 06461-2145 - Phone
- (203) 906-2266
- NPI assigned
- Feb 16, 2021
- Last updated
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 003048 | CT | Primary |
Addresses
Primary practice location
45 Sherbrook Rd
Milford, CT 06461-2145
Mailing address
45 Sherbrook Rd
Milford, CT 06461-2145
Phone (203) 906-2266
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 |
|---|---|---|---|
| 003048 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1154914612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SHERBROOK RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064612145",
"telephone_number": "203-906-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SHERBROOK RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064612145",
"telephone_number": "203-906-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULSON",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "003048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
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- Covenant Family Services
- Covey & Kwochka,PC
- Susan Mary Covey, DMD
- Nicole Christine Cowell, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.