NPIMap

Individual provider Active NPI

Cheryl L Brusket, L.M.T.

  • Mechanotherapist
  • Salem, MA
National Provider Identifier
1396978730
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
7397 Issued in MA
Practice address
407 Essex St
Salem, MA 01970-3176
Phone
(978) 741-3477
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 7397 MA Primary

Addresses

Primary practice location

407 Essex St
Salem, MA 01970-3176

Mailing address

4 Hilton St
Salem, MA 01970-1124
Phone (978) 815-0915

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
7397MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kantorosinski Chiropractic Inc PastSince Jan 1, 2003 Accepting new patients
Kantorosinski Chiropractic Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1396978730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HILTON ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701124",
            "telephone_number": "978-815-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703176",
            "telephone_number": "978-741-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSKET",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MA",
            "license": "7397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.