Individual provider Active NPI

Carolyn De Auzaleana Cora Wright, LMT

  • Massage Therapist
  • East Longmeadow, MA
National Provider Identifier
1396561411
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11086 Issued in MA
Practice address
280 N Main St Ste 7
East Longmeadow, MA 01028-1814
Phone
(413) 221-0630
NPI assigned
Nov 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 11086 MA Primary

Addresses

Primary practice location

280 N Main St Ste 7
East Longmeadow, MA 01028-1814

Mailing address

280 N Main St Ste 7
East Longmeadow, MA 01028-1814
Phone (413) 221-0636

Other practice location 1

24 Tabor Xing Ste D34
Longmeadow, MA 01106-1785
Phone (413) 567-7800

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
11086MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1396561411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST STE 7",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281814",
            "telephone_number": "413-221-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST STE 7",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281814",
            "telephone_number": "413-221-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Tabor Xing Ste D34",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011061785",
            "country_code": "US",
            "telephone_number": "413-567-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CAROLYN",
        "middle_name": "DE AUZALEANA CORA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "11086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.