Active NPI
Vanessa Ivette Colon, LMT
- Massage Therapist
- Wyomissing, PA
National Provider Identifier
1447654181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG004307
- Practice address
- 2100 State Hill Rd
Wyomissing, PA 19610-1654 - Phone
- (484) 797-0773
- NPI assigned
- Oct 9, 2014
- Last updated
- Oct 9, 2014
- 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 | MSG004307 | PA | Primary |
Addresses
Primary practice location
2100 State Hill Rd
Wyomissing, PA 19610-1654
Mailing address
908 S Temple Blvd
Temple, PA 19560-1953
Phone (484) 797-0773
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 |
|---|---|---|---|
| MSG004307 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1447654181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 S TEMPLE BLVD",
"city": "TEMPLE",
"state": "PA",
"postal_code": "195601953",
"telephone_number": "484-797-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STATE HILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101654",
"telephone_number": "484-797-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "VANESSA",
"middle_name": "IVETTE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG004307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.