Individual provider Active NPI

Susan Casaccio, LMT, CMLDT

  • Massage Therapist
  • Surprise, AZ
National Provider Identifier
1306553631
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-23254 Issued in AZ
Practice address
15331 W Bell Rd Ste 304
Surprise, AZ 85374-4105
Phone
(623) 755-0185
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 MT-23254 AZ Primary

Addresses

Primary practice location

15331 W Bell Rd Ste 304
Surprise, AZ 85374-4105

Mailing address

15331 W Bell Rd Ste 304
Surprise, AZ 85374-4105
Phone (623) 755-0185

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address susan@healingmassageinsurprise.com Direct
CONNECT URL www.healingmassageinsurprise.com Health Information Exchange (HIE)

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
MT-23254AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Massage by Susan, LLC Massage Therapist CurrentSince Nov 13, 2022 Accepting new patients

Locations

15331 W Bell Rd
Ste 304
Surprise, AZ 85374
Phone (623) 755-0185

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1306553631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 304",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744105",
            "telephone_number": "623-755-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 304",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744105",
            "telephone_number": "623-755-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACCIO",
        "first_name": "SUSAN",
        "credential": "LMT, CMLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-23254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan@healingmassageinsurprise.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15331 W Bell Rd Ste 304",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853744105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.healingmassageinsurprise.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15331 W Bell Rd Ste 304",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853744105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.