Renee Malsom, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13237 Issued in MA

Practice address

833 Route 28
S Yarmouth, MA 02664-5254

Phone

(508) 394-1353

Fax

(508) 398-2866

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Agj Physical Therapy Associates, L.L.C.

  • Physical Therapist
  • S Yarmouth, MA
  • NPI 1679805899
  NPD (past)
• Bass River Healthcare Associates, Inc.

  • Chiropractor
  • S Yarmouth, MA
  • NPI 1225010192

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1174909030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ROUTE 28",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "026645254",
            "telephone_number": "508-394-1353",
            "fax_number": "508-398-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 ROUTE 28",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "026645254",
            "telephone_number": "508-394-1353",
            "fax_number": "508-398-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSOM",
        "first_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "13237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Hawkes
• Julia Brachwitz Houlihan, M.S.
• John Aremu, DMD, PLLC
• Sandra Michelle Korona, MA
• Janet A Lane
• Matthew Sylvan Mayer, LADC II
• David Mishkin, PH.D.
• Courtney Montague
• Charlene Renee Murray
• Philip J Myers, MA

• Massage Therapist in S Yarmouth, MA
• Providers in S Yarmouth, MA by specialty
• Massage Therapist in Massachusetts

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

Verify at the official NPI Registry.