Active NPI
Cailin E O'Connor, LMT
- Massage Therapist
- South Portland, ME
National Provider Identifier
1225329097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT3994
- Practice address
- 884 Broadway
South Portland, ME 04106-4371 - Phone
- (207) 409-5097
- Fax
- (603) 929-5958
- NPI assigned
- Apr 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT3994 | ME | Primary |
Addresses
Primary practice location
884 Broadway
South Portland, ME 04106-4371
Mailing address
11B Cliff Ave
Hampton, NH 03842
UM
Phone (207) 409-5097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT3994 | Other | ME | MT3994 |
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 |
|---|---|---|---|
| MT3994 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1225329097",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "11B CLIFF AVE",
"city": "HAMPTON",
"state": "NH",
"postal_code": "03842",
"telephone_number": "207-409-5097",
"fax_number": "603-929-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 BROADWAY",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041064371",
"telephone_number": "207-409-5097",
"fax_number": "603-929-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "CAILIN",
"middle_name": "E",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT3994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT3994",
"identifier": "MT3994",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.