Active NPI
Michelle Sadler, LMT
- Massage Therapist
- Lebanon, TN
National Provider Identifier
1407570286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14665
- Practice address
- 1632 Woodside Dr
Lebanon, TN 37087-3144 - Phone
- (808) 670-8686
- NPI assigned
- Sep 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14665 | TN | Primary |
| Massage Therapist | 225700000X | MAT-17216 | HI |
Addresses
Primary practice location
1632 Woodside Dr
Lebanon, TN 37087-3144
Mailing address
1632 Woodside Dr
Lebanon, TN 37087-3144
Phone (808) 670-8686
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 |
|---|---|---|---|
| 14665 | TN | MD | Physical Therapist |
| MAT-17216 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1407570286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 WOODSIDE DR",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873144",
"telephone_number": "808-670-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 WOODSIDE DR",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873144",
"telephone_number": "808-670-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLER",
"first_name": "MICHELLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "14665",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-17216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.