NPIMap

Organization Active NPI

Massage and Fitness, LLC

  • Massage Therapist
  • Norwalk, CT
National Provider Identifier
1194098137
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Mr. Patrick Boyer, LMT,CPT,ATNPI 1831469196
Title
Owner
Phone
(203) 984-5980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X T58152 CT
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 002967 CT Primary

Addresses

Primary practice location

83 East Ave
Suite 313
Norwalk, CT 06851-4902

Mailing address

5 Oak St
Norwalk, CT 06854-4105
Phone (203) 984-5980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

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 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.