Active NPI
Elizabeth Kohler
- Massage Therapist
- South Portland, ME
National Provider Identifier
1376041574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT5939
- Practice address
- 388 Ocean St
South Portland, ME 04106-6610 - Phone
- (617) 447-0181
- NPI assigned
- Jan 23, 2018
- 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 | MT5939 | ME | Primary |
Addresses
Primary practice location
388 Ocean St
South Portland, ME 04106-6610
Mailing address
388 Ocean St
South Portland, ME 04106-6610
Phone (617) 447-0181
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT5939 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1376041574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 OCEAN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066610",
"telephone_number": "617-447-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 OCEAN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066610",
"telephone_number": "617-447-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLER",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT5939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.