Individual provider Active NPI

Megan M Foresi, LMT

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1336435510
Registry record updated Jun 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5646 Issued in NM
Practice address
126 Quincy St NE
Albuquerque, NM 87108-1257
Phone
(505) 417-4823
NPI assigned
Jun 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2011

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 5646 NM Primary

Addresses

Primary practice location

126 Quincy St NE
Albuquerque, NM 87108-1257

Mailing address

2011 Matthew Ave NW Apt 8
Albuquerque, NM 87104-2459
Phone (505) 417-4823

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
5646NMMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308960000000",
    "number": "1336435510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 MATTHEW AVE NW APT 8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042459",
            "telephone_number": "505-417-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 QUINCY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081257",
            "telephone_number": "505-417-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESI",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2011-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2011; 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.