Active NPI
David Eugene Labean, LMT
- Massage Therapist
- West Warwick, RI
National Provider Identifier
1225630692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT02610
- Practice address
- 52 W Warwick Ave
West Warwick, RI 02893-3830 - Phone
- (401) 219-3871
- NPI assigned
- Nov 11, 2020
- Sex
- Male
- 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 | MT02610 | RI | Primary |
Addresses
Primary practice location
52 W Warwick Ave
West Warwick, RI 02893-3830
Mailing address
52 W Warwick Ave
West Warwick, RI 02893-3830
Phone (401) 219-3871
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 |
|---|---|---|---|
| MT02610 | RI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1225630692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 W WARWICK AVE",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028933830",
"telephone_number": "401-219-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 W WARWICK AVE",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028933830",
"telephone_number": "401-219-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABEAN",
"first_name": "DAVID",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "RI",
"license": "MT02610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.