Individual provider Active NPI

Angela S Sabattus, MT

  • Massage Therapist
  • Princeton, ME
National Provider Identifier
1245743434
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT3500 Issued in ME
Practice address
401 Peter Dana Point Road
Princeton, ME 04668-0097
Phone
(207) 796-2321
Fax
(207) 796-2422
NPI assigned
Nov 9, 2017
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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 MT3500 ME Primary

Addresses

Primary practice location

401 Peter Dana Point Road
Princeton, ME 04668-0097

Mailing address

PO Box 97
Princeton, ME 04668-0097
Phone (207) 796-2321

Other identifiers 1

IdentifierTypeStateIssuer
MT3500OtherMESTATE LICENSE

Other names 1

  • Angela S Phelps Professional name

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT3500MEMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1245743434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "PRINCETON",
            "state": "ME",
            "postal_code": "046680097",
            "telephone_number": "207-796-2321",
            "fax_number": "207-796-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PETER DANA POINT ROAD",
            "city": "PRINCETON",
            "state": "ME",
            "postal_code": "046680097",
            "telephone_number": "207-796-2321",
            "fax_number": "207-796-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATTUS",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MT3500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PHELPS",
            "middle_name": "S",
            "credential": "MT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Princeton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.