Individual provider Active NPI

Katie Elizabeth Garnett, MT

  • Massage Therapist
  • Ellsworth, ME
National Provider Identifier
1588447064
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT3698 Issued in ME
Practice address
17 Commerce Park
Ellsworth, ME 04605-3383
Phone
(207) 992-4000
Fax
(207) 558-3285
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 MT3698 ME Primary

Addresses

Primary practice location

17 Commerce Park
Ellsworth, ME 04605-3383

Mailing address

PO Box 6
Stillwater, ME 04489-0006
Phone (207) 992-4000

Other practice location 1

8 Road Not Taken
Trenton, ME 04605-5817
Phone (207) 992-4000

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT3698MEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ube Physical Therapy and Performance LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

17 Commerce Park
Ellsworth, ME 04605
Phone (207) 949-0552

8 Road Not Taken
Trenton, ME 04605
Phone (207) 992-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1588447064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "STILLWATER",
            "state": "ME",
            "postal_code": "044890006",
            "telephone_number": "207-992-4000",
            "fax_number": "207-558-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COMMERCE PARK",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053383",
            "telephone_number": "207-992-4000",
            "fax_number": "207-558-3285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Road Not Taken",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "ME",
            "postal_code": "046055817",
            "country_code": "US",
            "telephone_number": "207-992-4000",
            "fax_number": "207-558-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNETT",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT3698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.