Active NPI
Summer Corrie, LMT
- Massage Therapist
- Kingston, NY
National Provider Identifier
1457618142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 020208-1
- Practice address
- 291 Wall St
Suite 2a
Kingston, NY 12401-3849 - Phone
- (845) 633-0099
- NPI assigned
- Apr 18, 2012
- 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 | 020208-1 | NY | Primary |
Addresses
Primary practice location
291 Wall St
Suite 2a
Kingston, NY 12401-3849
Mailing address
3011 Route 44 55
Apt 9
Gardiner, NY 12525-5053
Phone (845) 633-0099
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 |
|---|---|---|---|
| 020208-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1457618142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 ROUTE 44 55",
"address_2": "APT 9",
"city": "GARDINER",
"state": "NY",
"postal_code": "125255053",
"telephone_number": "845-633-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 WALL ST",
"address_2": "SUITE 2A",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013849",
"telephone_number": "845-633-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIE",
"first_name": "SUMMER",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "020208-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.