Individual provider Active NPI

Gregory Edward Guillemette, LMT

  • Massage Therapist
  • Bedford, NH
National Provider Identifier
1326293267
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8481 Issued in MA
Practice address
40 S River Rd
#21
Bedford, NH 03110-6719
Phone
(603) 836-5640
NPI assigned
Nov 19, 2008
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 8481 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

40 S River Rd
#21
Bedford, NH 03110-6719

Mailing address

40 S River Rd Unit 21
Bedford, NH 03110-6721
Phone (603) 836-5640

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2013.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1326293267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 21",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106721",
            "telephone_number": "603-836-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD",
            "address_2": "#21",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106719",
            "telephone_number": "603-836-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEMETTE",
        "first_name": "GREGORY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "8481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.