Individual provider Active NPI

Elijah Ames, MT

  • Massage Therapist
  • Dexter, ME
National Provider Identifier
1174336473
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT7581 Issued in ME
Practice address
63 Abbott Hill Rd
Dexter, ME 04930-1154
Phone
(207) 907-2637
Fax
(207) 990-2308
NPI assigned
Jan 30, 2025
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT7581 ME Primary

Addresses

Primary practice location

63 Abbott Hill Rd
Dexter, ME 04930-1154

Mailing address

63 Abbott Hill Rd
Dexter, ME 04930-1154
Phone (207) 907-2637

Other practice location 1

442 W Broadway
Lincoln, ME 04457-4111
Phone (207) 907-2637

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

LicenseStateTypeSpecialty
MT7581MEMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1174336473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ABBOTT HILL RD",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049301154",
            "telephone_number": "207-907-2637",
            "fax_number": "207-990-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ABBOTT HILL RD",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049301154",
            "telephone_number": "207-907-2637",
            "fax_number": "207-990-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "ME",
            "postal_code": "044574111",
            "country_code": "US",
            "telephone_number": "207-907-2637",
            "fax_number": "207-990-2308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMES",
        "first_name": "ELIJAH",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT7581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.