Active NPI
Ana Waltraud Seifridsberger, MT
- Massage Therapist
- Biddeford, ME
National Provider Identifier
1164899886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT4152
- Practice address
- 314 Alfred St
Biddeford, ME 04005-3102 - Phone
- (207) 286-8416
- NPI assigned
- Aug 28, 2015
- 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 | MT4152 | ME | Primary |
Addresses
Primary practice location
314 Alfred St
Biddeford, ME 04005-3102
Mailing address
PO Box 7114
Cape Porpoise, ME 04014-7114
Phone (207) 475-7854
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT4152 | ME | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massagecraft Inc. | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1164899886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7114",
"city": "CAPE PORPOISE",
"state": "ME",
"postal_code": "040147114",
"telephone_number": "207-475-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 ALFRED ST",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053102",
"telephone_number": "207-286-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFRIDSBERGER",
"first_name": "ANA",
"middle_name": "WALTRAUD",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT4152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.