Active NPI
Katie A Stangel, LMT
- Massage Therapist
- Windham, ME
National Provider Identifier
1295011849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT4603
- Practice address
- 108 Tandberg Trail
Windham, ME 04062 - Phone
- (207) 893-0033
- NPI assigned
- Oct 27, 2011
- Last updated
- Oct 27, 2011
- 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 | MT4603 | ME | Primary |
Addresses
Primary practice location
108 Tandberg Trail
Windham, ME 04062
Mailing address
784 Gray Rd
Windham, ME 04062-4867
Phone (207) 592-8288
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 |
|---|---|---|---|
| MT4603 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1295011849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 GRAY RD",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040624867",
"telephone_number": "207-592-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 TANDBERG TRAIL",
"city": "WINDHAM",
"state": "ME",
"postal_code": "04062",
"telephone_number": "207-893-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGEL",
"first_name": "KATIE",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT4603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windham, ME
- Erin Louise Soule
- Southern Maine Chidlren's Academy, LLC
- Southern Maine Pediatric Therapies
- Southern Maine Speech & Language Services, LLC
- Mohammed Sowamrah
- William Joseph Stanske, RPT
- Katherine Jamieson Stein, MA, LCPC, LADC
- Theresa Stockhausen-Gauthier, M.S. AUDIOLOGIST
- George W Stockwell, D.O.
- Tanasia Street, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.