Kimberly Johnson, LMT, OMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT4594 Issued in ME

Practice address

4 Fundy Rd Ste 103
Falmouth, ME 04105-1764

Phone

(207) 233-2096

Fax

(207) 808-8000

NPI assigned

Jan 29, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Holistic Health Dynamics LLC

  • Massage Therapist
  • Falmouth, ME
  • NPI 1457991630
  NPD Authorized official

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1437696473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040980243",
            "telephone_number": "207-233-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FUNDY RD STE 103",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051764",
            "telephone_number": "207-233-2096",
            "fax_number": "207-808-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LMT, OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-29",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Babayan, DDS, PA
• Ahmed Jaber
• Ellen Marie Jackson, LCSW
• Cathy M Janelle, MS, CCC/SLP, LSLS
• Kirsten Louise Jettinghoff, L.C.P.C.
• Monique Angella Johnson, PHARM.D.
• Jennifer Jones, LCSW
• Tammy J. C. Jones, COTA
• David A Jordan, LCPC, CCS
• Jro Cardiology LLC

• Massage Therapist in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.