Dawn Lally, LMT, CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019014615 Issued in VA

Practice address

3356 Ironbound Rd BLDG 1
Williamsburg, VA 23188-2412

Phone

(757) 744-7055

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1427697234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9381 N RINKER DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231168704",
            "telephone_number": "954-478-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 IRONBOUND RD BLDG 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882412",
            "telephone_number": "757-744-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "DAWN",
        "credential": "LMT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019014615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Williamsburg",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "HIE and client email communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client communication",
            "address_1": "3356 Ironbound Rd Bldg 1",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231882412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.