Massage and Fitness, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

002967 Issued in CT

Legal business name

MASSAGE AND FITNESS, LLC

Practice address

83 East Ave
Suite 313
Norwalk, CT 06851-4902

Phone

(203) 984-5980

Fax

(203) 286-8779

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Boyer, LMT,CPT,AT

Title

Owner

Phone

(203) 984-5980

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1194098137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OAK ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068544105",
            "telephone_number": "203-984-5980",
            "fax_number": "203-286-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 EAST AVE",
            "address_2": "SUITE 313",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514902",
            "telephone_number": "203-984-5980",
            "fax_number": "203-286-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-984-5980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT,CPT,AT"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CT",
            "license": "T58152",
            "primary": false
        },
        {
            "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": "CT",
            "license": "002967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.