Active NPI
The Bodyworks
- Massage Therapist
- Bangor, ME
National Provider Identifier
1316340904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT77
- Legal business name
- THE BODYWORKS
- Practice address
- 195 State St
Bangor, ME 04401-5410 - Phone
- (207) 947-4714
- Fax
- (207) 947-4714
- NPI assigned
- Sep 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Theresa Hart Ann Hart, LMT
- Title
- President
- Phone
- (207) 947-4714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT77 | ME | Primary |
Addresses
Primary practice location
195 State St
Bangor, ME 04401-5410
Mailing address
195 State St
Bangor, ME 04401-5410
Phone (207) 947-4714
Other names 1
- theresa hart
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411689600000",
"number": "1316340904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015410",
"telephone_number": "207-947-4714",
"fax_number": "207-947-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015410",
"telephone_number": "207-947-4714",
"fax_number": "207-947-4714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BODYWORKS",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-26",
"last_updated": "2014-09-26",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "THERESA HART",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-947-4714",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT77",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "theresa hart",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.