Active NPI
Kathleen Jaramillo Kweskin, L.M.T.
- Massage Therapist
- Ridgefield, CT
National Provider Identifier
1184073660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9659
- Practice address
- 901 Ethan Allen Hwy Ste 109
Ridgefield, CT 06877-2838 - Phone
- (203) 403-3710
- NPI assigned
- Jun 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60656894 | WA | |
| Massage Therapist | 225700000X | 9659 | CT | Primary |
Addresses
Primary practice location
901 Ethan Allen Hwy Ste 109
Ridgefield, CT 06877-2838
Mailing address
121 Padanaram Rd
Danbury, CT 06811-2812
Phone (203) 417-9969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9659 | CT | MD | Clinical Social Worker |
| MA60656894 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Wellness | Multi-Specialty | Current | Accepting new patients |
Locations
901 Ethan Allen Hwy
Ste 109
Ridgefield, CT 06877
Phone (203) 403-3710
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": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1184073660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 PADANARAM RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068112812",
"telephone_number": "203-417-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ETHAN ALLEN HWY STE 109",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068772838",
"telephone_number": "203-403-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWESKIN",
"first_name": "KATHLEEN",
"middle_name": "JARAMILLO",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60656894",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CT",
"license": "9659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.