Active NPI
Evelyn Zuckerman
- Massage Therapist
- White River Junction, VT
National Provider Identifier
1336664853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 216 Runnals Rd.
White River Junction, VT 05001-0500 - Phone
- (802) 295-6653
- Fax
- (802) 295-6653
- NPI assigned
- Aug 5, 2017
- Last updated
- Aug 5, 2017
- 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 | NU | Primary |
Addresses
Primary practice location
216 Runnals Rd.
White River Junction, VT 05001-0500
Mailing address
216 Runnals Rd
White River Junction, VT 05001-9234
Phone (802) 295-6653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019941-00 | Other | NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501891200000",
"number": "1336664853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 RUNNALS RD",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050019234",
"telephone_number": "18022956653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 RUNNALS RD.",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050010500",
"telephone_number": "802-295-6653",
"fax_number": "802-295-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "EVELYN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-05",
"last_updated": "2017-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK",
"identifier": "019941-00",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.