Active NPI
Carolyn L. Kennedy, MASSAGE THERAPIST
- Massage Therapist
- Orleans, MA
National Provider Identifier
1295906428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 004085
- Practice address
- 96 Tonset Rd
Orleans, MA 02653-3453 - Phone
- (508) 255-7564
- Fax
- (508) 255-7564
- NPI assigned
- Mar 15, 2008
- Last updated
- Mar 15, 2008
- 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 | 004085 | NY | Primary |
Addresses
Primary practice location
96 Tonset Rd
Orleans, MA 02653-3453
Mailing address
96 Tonset Rd
Orleans, MA 02653-3453
Phone (508) 255-7564
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 |
|---|---|---|---|
| 004085 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205539200000",
"number": "1295906428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 TONSET RD",
"city": "ORLEANS",
"state": "MA",
"postal_code": "026533453",
"telephone_number": "508-255-7564",
"fax_number": "508-255-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 TONSET RD",
"city": "ORLEANS",
"state": "MA",
"postal_code": "026533453",
"telephone_number": "508-255-7564",
"fax_number": "508-255-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "CAROLYN",
"middle_name": "L.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-15",
"last_updated": "2008-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "004085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orleans, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.