Active NPI
Susan V Brown, CMT
- Massage Therapist
- Dingmans Ferry, PA
National Provider Identifier
1386889160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26BT00059900
- Practice address
- 1346 Route 739
Dingmans Ferry, PA 18328-3423 - Phone
- (570) 686-4300
- Fax
- (579) 686-4302
- NPI assigned
- Dec 9, 2008
- Last updated
- Dec 9, 2008
- 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 | 26BT00059900 | NJ | Primary |
Addresses
Primary practice location
1346 Route 739
Dingmans Ferry, PA 18328-3423
Mailing address
1346 Route 739
Dingmans Ferry, PA 18328-3423
Phone (570) 686-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26BT00059900 | Other | NJ | NJ BOARD OF COSMOTOLOGY ATTORNEY GENERAL OFFICE |
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 |
|---|---|---|---|
| 26BT00059900 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1386889160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 ROUTE 739",
"city": "DINGMANS FERRY",
"state": "PA",
"postal_code": "183283423",
"telephone_number": "570-686-4300",
"fax_number": "579-686-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 ROUTE 739",
"city": "DINGMANS FERRY",
"state": "PA",
"postal_code": "183283423",
"telephone_number": "570-686-4300",
"fax_number": "579-686-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SUSAN",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "26BT00059900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ BOARD OF COSMOTOLOGY ATTORNEY GENERAL OFFICE",
"identifier": "26BT00059900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dingmans Ferry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.