Individual provider Active NPI

Paul Eric Youngquist, LMT

  • Massage Therapist
  • Peterborough, NH
National Provider Identifier
1265680342
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1836M Issued in NH
Practice address
7 Main St
Peterborough, NH 03458-2417
Phone
(603) 547-5051
Fax
(603) 371-0284
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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 1836M NH Primary

Addresses

Primary practice location

7 Main St
Peterborough, NH 03458-2417

Mailing address

7 Main St
Peterborough, NH 03458-2417
Phone (603) 547-5051

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
1836MNHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1265680342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582417",
            "telephone_number": "603-547-5051",
            "fax_number": "603-371-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582417",
            "telephone_number": "603-547-5051",
            "fax_number": "603-371-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGQUIST",
        "first_name": "PAUL",
        "middle_name": "ERIC",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "1836M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.