Individual provider Active NPI

Roxanne N Kiupe, LMT,CMT

  • Massage Therapist
  • Montville, NJ
National Provider Identifier
1457640534
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG000722 Issued in PA
Practice address
170 Changebridge Rd
Unit A4 Suite 3
Montville, NJ 07045-9115
Phone
(973) 575-4757
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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 MSG000722 PA Primary

Addresses

Primary practice location

170 Changebridge Rd
Unit A4 Suite 3
Montville, NJ 07045-9115

Mailing address

RR 2 Box 2175
2175 Pine Ridge Rd
East Stroudsburg, PA 18301-9636
Phone (973) 525-4852

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

LicenseStateTypeSpecialty
MSG000722PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1457640534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2175",
            "address_2": "2175 PINE RIDGE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019636",
            "telephone_number": "973-525-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD",
            "address_2": "UNIT A4 SUITE 3",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459115",
            "telephone_number": "973-575-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIUPE",
        "first_name": "ROXANNE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LMT,CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG000722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.