NPIMap

Organization Active NPI

Etm Massage of Burlington, Inc

  • Massage Therapist
  • Burlington, MA
National Provider Identifier
1164733952
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ETM MASSAGE OF BURLINGTON, INC
Practice address
101 Cambridge St Ste 260
Burlington, MA 01803-3767
Phone
(781) 270-4433
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Kip Lebaron
Title
Owner
Phone
(781) 270-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA Primary

Addresses

Primary practice location

101 Cambridge St Ste 260
Burlington, MA 01803-3767

Mailing address

101 Cambridge St Ste 260
Burlington, MA 01803-3767
Phone (781) 270-4433

Other names 1

  • Elements Therapeutic Massage Burlington Doing business as

National Provider Directory

National Provider Directory

Locations

101 Cambridge St
Ste 260
Burlington, MA 01803
Phone (781) 270-4433

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1164733952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 260",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033767",
            "telephone_number": "781-270-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 260",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033767",
            "telephone_number": "781-270-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETM MASSAGE OF BURLINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "LEBARON",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-270-4433"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage Burlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.