Individual provider Active NPI

Cornelis Hendrik Bouman, LMT

  • Massage Therapist
  • Woodstock, NY
National Provider Identifier
1447155353
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032858 Issued in NY
Practice address
15 Pine Grove St
Woodstock, NY 12498-1507
Phone
(347) 693-9340
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 032858 NY Primary

Addresses

Primary practice location

15 Pine Grove St
Woodstock, NY 12498-1507

Mailing address

15 Pine Grove St
Woodstock, NY 12498-1507
Phone (347) 693-9340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1447155353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE ST",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981507",
            "telephone_number": "347-693-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE ST",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981507",
            "telephone_number": "347-693-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMAN",
        "first_name": "CORNELIS",
        "middle_name": "HENDRIK",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.