Active NPI
Susan Casaccio, LMT, CMLDT
- Massage Therapist
- Surprise, AZ
National Provider Identifier
1306553631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-23254
- 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, 2022
- 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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT-23254 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Massage by Susan, LLC | Massage Therapist | Current | 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.