Active NPI
Sherman Hanke, LMT
- Massage Therapist
- Medford, MA
National Provider Identifier
1518742543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8444
- Practice address
- 379 Main St Lowr Level
Medford, MA 02155-6256 - Phone
- (617) 331-3133
- NPI assigned
- Aug 28, 2023
- Last updated
- Aug 28, 2023
- Sex
- Male
- 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 | 8444 | MA | Primary |
Addresses
Primary practice location
379 Main St Lowr Level
Medford, MA 02155-6256
Mailing address
10 Fernald Dr Apt 31
Cambridge, MA 02138-1430
Phone (617) 331-3133
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 |
|---|---|---|---|
| 8444 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1518742543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FERNALD DR APT 31",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381430",
"telephone_number": "617-331-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 MAIN ST LOWR LEVEL",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556256",
"telephone_number": "617-331-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKE",
"first_name": "SHERMAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "8444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.