Organization Active NPI

Holistic Health Dynamics LLC

  • Massage Therapist
  • Falmouth, ME
National Provider Identifier
1457991630
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOLISTIC HEALTH DYNAMICS LLC
Practice address
4 Fundy Rd Ste 103
Falmouth, ME 04105-1777
Phone
(207) 233-2096
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Kimberly Johnson, LMT, OMTNPI 1437696473
Title
Proprietor
Phone
(207) 233-2096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4 Fundy Rd Ste 103
Falmouth, ME 04105-1777

Mailing address

4 Fundy Rd Ste 103
Falmouth, ME 04105-1777
Phone (207) 233-2096

National Provider Directory

National Provider Directory

Locations

4 Fundy Rd
Ste 103
Falmouth, ME 04105
Phone (207) 233-2096

1020 Forest Ave
Portland, ME 04103
Phone (207) 797-4815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1457991630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FUNDY RD STE 103",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051777",
            "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": "041051777",
            "telephone_number": "207-233-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "207-233-2096",
        "authorized_official_credential": "LMT, OMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.