Individual provider Active NPI

Lynn Tatarczuk, LMT

  • Massage Therapist
  • Exeter, NH
National Provider Identifier
1225605488
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2262M Issued in NH
Practice address
1 Hampton Rd Unit 304
Exeter, NH 03833-4849
Phone
(603) 775-7855
Fax
(603) 775-7955
NPI assigned
Jun 7, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2262M NH Primary

Addresses

Primary practice location

1 Hampton Rd Unit 304
Exeter, NH 03833-4849

Mailing address

1 Hampton Rd Unit 304
Exeter, NH 03833-4849
Phone (603) 775-7855

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

LicenseStateTypeSpecialty
2262MNHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenations Professional Massage, LLC Massage Therapist CurrentSince Jun 15, 2021 Accepting new patients

Locations

1 Hampton Rd
Unit 304
Exeter, NH 03833
Phone (603) 775-7855

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1225605488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 304",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334849",
            "telephone_number": "603-775-7855",
            "fax_number": "603-775-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 304",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334849",
            "telephone_number": "603-775-7855",
            "fax_number": "603-775-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARCZUK",
        "first_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "2262M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.