Individual provider Active NPI

Lourdes M Cantos, LMT

  • Massage Therapist
  • Wayland, MA
National Provider Identifier
1386217511
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7318 Issued in MA
Practice address
35 Main St
Wayland, MA 01778-5037
Phone
(508) 433-6244
Fax
(508) 433-6244
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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 7318 MA Primary

Addresses

Primary practice location

35 Main St
Wayland, MA 01778-5037

Mailing address

35 Main St
Wayland, MA 01778-5037
Phone (508) 433-6244

Other identifiers 1

IdentifierTypeStateIssuer
871324731MedicaidMA

Other names 1

  • Danielle Harr Other name

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
7318MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1386217511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785037",
            "telephone_number": "508-433-6244",
            "fax_number": "508-433-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785037",
            "telephone_number": "508-433-6244",
            "fax_number": "508-433-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOS",
        "first_name": "LOURDES",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "7318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871324731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "HARR",
            "credential": "LMT, LE, MMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.