Active NPI
Twyla Atherna Everett, LMT, MMP, CPT
- Massage Therapist
- Waltham, MA
National Provider Identifier
1568975449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15024
- Practice address
- 212 Calvary St
Waltham, MA 02453 - Phone
- (781) 697-2364
- NPI assigned
- Nov 14, 2017
- 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 | 15024 | MA | Primary |
Addresses
Primary practice location
212 Calvary St
Waltham, MA 02453
Mailing address
212 Calvary St
Waltham, MA 02453-8366
Phone (781) 697-2364
Other practice location 1
10 Trapelo Rd Ste 1
Belmont, MA 02478-4456
Phone (617) 650-1945
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 |
|---|---|---|---|
| 15024 | MA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1568975449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CALVARY ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024538366",
"telephone_number": "781-697-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CALVARY ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "781-697-2364"
}
],
"practiceLocations": [
{
"address_1": "10 Trapelo Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "MA",
"postal_code": "024784456",
"country_code": "US",
"telephone_number": "617-650-1945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERETT",
"first_name": "TWYLA",
"middle_name": "ATHERNA",
"credential": "LMT, MMP, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "15024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.