Active NPI
Sylvia Overton, LMT
- Massage Therapist
- South Windsor, CT
National Provider Identifier
1396335949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 007339
- Practice address
- 435 Chapel Rd Ste C
South Windsor, CT 06074-4157 - Phone
- (860) 325-7575
- NPI assigned
- Jan 18, 2021
- 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 | 007339 | CT | Primary |
Addresses
Primary practice location
435 Chapel Rd Ste C
South Windsor, CT 06074-4157
Mailing address
435 Chapel Rd Ste C
South Windsor, CT 06074-4157
Phone (860) 325-7575
Other practice location 1
720 Hopmeadow St Ste 5
Simsbury, CT 06070-2224
Phone (860) 212-7005
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Integratedbalancellc.com | Direct | |
| CONNECT URL | Integratedbalancellc.com |
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 |
|---|---|---|---|
| 007339 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627689600000",
"number": "1396335949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CHAPEL RD STE C",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060744157",
"telephone_number": "860-325-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CHAPEL RD STE C",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060744157",
"telephone_number": "860-325-7575"
}
],
"practiceLocations": [
{
"address_1": "720 Hopmeadow St Ste 5",
"address_purpose": "LOCATION",
"city": "Simsbury",
"state": "CT",
"postal_code": "060702224",
"country_code": "US",
"telephone_number": "860-212-7005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERTON",
"first_name": "SYLVIA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-07-31",
"certification_date": "2021-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CT",
"license": "007339",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Integratedbalancellc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "435 Chapel Rd Ste C",
"city": "South Windsor",
"state": "CT",
"country_code": "US",
"postal_code": "060744157",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Integratedbalancellc.com",
"affiliation": "N",
"address_1": "435 Chapel Rd Ste C",
"city": "South Windsor",
"state": "CT",
"country_code": "US",
"postal_code": "060744157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.