NPIMap

Organization Active NPI

Body Healing Solution

  • Mechanotherapist
  • Danvers, MA
National Provider Identifier
1205174893
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
11058 Issued in MA
Legal business name
BODY HEALING SOLUTION
Practice address
29 Andover St
Danvers, MA 01923-1492
Phone
(978) 239-0165
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dennis Liberge Sr.
Title
Persidence
Phone
(978) 239-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X 11058 MA Primary

Addresses

Primary practice location

29 Andover St
Danvers, MA 01923-1492

Mailing address

129 Lowell St
Peabody, MA 01960-4289

National Provider Directory

National Provider Directory

Locations

29 Andover St
Danvers, MA 01923
Phone (978) 239-0165

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1205174893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ANDOVER ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231492",
            "telephone_number": "978-239-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY HEALING SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "LIBERGE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PERSIDENCE",
        "authorized_official_telephone_number": "978-239-0165",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "MA",
            "license": "11058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.