Active NPI
Kelly Delong, LMT
- Massage Therapist
- Martinsburg, WV
National Provider Identifier
1427705813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2017-3481
- Practice address
- 311 S Raleigh St
Martinsburg, WV 25401-2638 - Phone
- (304) 582-9065
- NPI assigned
- Mar 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2017-3481 | WV | Primary |
Addresses
Primary practice location
311 S Raleigh St
Martinsburg, WV 25401-2638
Mailing address
311 S Raleigh St
Martinsburg, WV 25401-2638
Phone (304) 582-9065
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Martinsburg |
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 |
|---|---|---|---|
| 2017-3481 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1427705813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S RALEIGH ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012638",
"telephone_number": "304-582-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S RALEIGH ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012638",
"telephone_number": "304-582-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "KELLY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WV",
"license": "2017-3481",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Martinsburg",
"affiliation": "N",
"address_1": "311 S Raleigh St",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254012638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.