Active NPI
Beth Stadnicki Verhyen, LMT
- Massage Therapist
- Northborough, MA
National Provider Identifier
1245923150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19596
- Practice address
- 20 Main St Ste 1
Northborough, MA 01532-1942 - Phone
- (508) 571-8233
- NPI assigned
- May 29, 2023
- 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 | 19596 | MA | Primary |
Addresses
Primary practice location
20 Main St Ste 1
Northborough, MA 01532-1942
Mailing address
344 River Rd
Hudson, MA 01749-2635
Phone (978) 855-5808
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 |
|---|---|---|---|
| 19596 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1245923150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 RIVER RD",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492635",
"telephone_number": "978-855-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MAIN ST STE 1",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321942",
"telephone_number": "508-571-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADNICKI VERHYEN",
"first_name": "BETH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "19596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.