Organization Active NPI

Massage and Fitness, LLC

  • Rehabilitation Practitioner
  • Norwalk, CT
National Provider Identifier
1174061683
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
T58152 Issued in CT
Legal business name
MASSAGE AND FITNESS, LLC
Practice address
83 East Ave
Suite 310
Norwalk, CT 06851-4902
Phone
(203) 939-9319
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Patrick BoyerNPI 1831469196
Title
Owner
Phone
(203) 939-9319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X T58152 CT Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

83 East Ave
Suite 310
Norwalk, CT 06851-4902

Mailing address

83 East Ave
Suite 310
Norwalk, CT 06851-4902
Phone (203) 939-9319

National Provider Directory

National Provider Directory

Locations

83 East Ave
Ste 310
Norwalk, CT 06851
Phone (203) 939-9319

Practitioners & affiliated clinicians

Practitioners 1

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": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1174061683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 EAST AVE",
            "address_2": "SUITE 310",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514902",
            "telephone_number": "203-939-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 EAST AVE",
            "address_2": "SUITE 310",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514902",
            "telephone_number": "203-939-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-939-9319"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CT",
            "license": "T58152",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.