Concetta M Antonelli LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

7449 Issued in OR

Legal business name

CONCETTA M ANTONELLI LMT

Practice address

311 B Ave
Ste L
Lake Oswego, OR 97034-3011

Phone

(503) 349-7038

NPI assigned

Dec 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Concetta Marie Antonelli, LMTNPI 1770764797

Title

Massage Therapist

Phone

(503) 349-7038

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Concetta Marie Antonelli, L.M.T.

  • Massage Therapist
  • Lake Oswego, OR
  • NPI 1770764797
  NPD (past) Authorized official

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1356687115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 SE 33RD AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226754",
            "telephone_number": "503-349-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 B AVE",
            "address_2": "STE L",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343011",
            "telephone_number": "503-349-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCETTA M ANTONELLI LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "ANTONELLI",
        "authorized_official_first_name": "CONCETTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-349-7038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "7449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loriann Collepardi
• Kellie L Collins
• Michelle Ann Collins
• Community Compounding Pharmacy
• Concentra Health Services, Inc.
• Isamar Conde Negron
• Rachael Ann Cone, L.M.T.
• Connect Thrive Therapy, LLC (Connect Thrive Institute)
• Connections PDX LLC (Connections)
• Edward Everett Conrad Jr., M.D.

• Specialist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.