Individual provider Active NPI

Danielle R Crystal, B.S., LMT, BCBA, MS

  • Massage Therapist
  • Mechanic Falls, ME
National Provider Identifier
1396539458
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT7398 Issued in ME
Practice address
22 Pleasant St
Mechanic Falls, ME 04256-6108
Phone
(207) 522-1644
NPI assigned
Apr 5, 2025
Last updated
Apr 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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 MT7398 ME Primary

Addresses

Primary practice location

22 Pleasant St
Mechanic Falls, ME 04256-6108

Mailing address

109 Pulsifer Rd
Poland, ME 04274-6552

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
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
MT7398MEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywork by Alex LLC Massage Therapist CurrentSince Apr 6, 2025 Accepting new patients

Locations

22 Pleasant St
Mechanic Fls, ME 04256
Phone (207) 241-9832

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1396539458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PULSIFER RD",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042746552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PLEASANT ST",
            "city": "MECHANIC FALLS",
            "state": "ME",
            "postal_code": "042566108",
            "telephone_number": "207-522-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "credential": "B.S., LMT, BCBA,  MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT7398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanic Falls, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.