Carolyn Joanne Preston, LMT, MMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA84921 Issued in FL

Practice address

1013 Brookside Rd
Suite 201
Wescosville, PA 18106

Phone

(267) 901-4093

NPI assigned

Apr 11, 2013

Last updated

May 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1366885196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S BROAD ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012844",
            "telephone_number": "352-587-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 BROOKSIDE RD",
            "address_2": "SUITE 201",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "267-901-4093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Brookside Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Wescosville",
            "state": "PA",
            "postal_code": "181069440",
            "country_code": "US",
            "telephone_number": "267-901-4093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "CAROLYN",
        "middle_name": "JOANNE",
        "credential": "LMT, MMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG008600",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "3742M",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA84921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Wescosville, PA
• Providers in Wescosville, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.