Roberta Jean Boisselle, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

01573 Issued in NC

Practice address

980 Seven Lakes Drive
Suite 3
Seven Lakes, NC 27376

Phone

(910) 673-2000

NPI assigned

Dec 16, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Roberta Jean Salang Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2022.

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1558073049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273760951",
            "telephone_number": "910-673-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 SEVEN LAKES DRIVE",
            "address_2": "SUITE 3",
            "city": "SEVEN LAKES",
            "state": "NC",
            "postal_code": "27376",
            "telephone_number": "910-673-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISSELLE",
        "first_name": "ROBERTA",
        "middle_name": "JEAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "01573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF MASSAGE THERAPY AND BODYWORK LICENSE",
            "identifier": "01573",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sevenlakesmassage.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic email",
            "address_1": "980 Seven Lakes Drive",
            "address_2": "Suite 3",
            "city": "Seven Lakes",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "SALANG",
            "middle_name": "JEAN",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Susan Rospert
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• All providers in Seven Lakes, NC
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.