Active NPI
Michaela L Macdonald, CMT
- Massage Therapist
- Saint Johnsbury, VT
National Provider Identifier
1194450973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 164.0000671
- Practice address
- 134 Eastern Ave
Saint Johnsbury, VT 05819-5602 - Phone
- (802) 535-8889
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 164.0000671 | VT | Primary |
Addresses
Primary practice location
134 Eastern Ave
Saint Johnsbury, VT 05819-5602
Mailing address
2318 Leonard Hill Rd
Concord, VT 05824-9530
Phone (802) 535-8889
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 |
|---|---|---|---|
| 164.0000671 | VT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1194450973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 LEONARD HILL RD",
"city": "CONCORD",
"state": "VT",
"postal_code": "058249530",
"telephone_number": "802-535-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 EASTERN AVE",
"city": "SAINT JOHNSBURY",
"state": "VT",
"postal_code": "058195602",
"telephone_number": "802-535-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "MICHAELA",
"middle_name": "L",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VT",
"license": "164.0000671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.