NPIMap

Individual provider Active NPI

Marcia Lee, LMT/CMT

  • Massage Therapist
  • Canton, MA
National Provider Identifier
1598948291
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
009572-1 Issued in NY
Practice address
1895 J W Foster Blvd
Fitness Center
Canton, MA 02021-1099
Phone
(781) 401-5252
Fax
(508) 437-5555
NPI assigned
Dec 17, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 009572-1 NY Primary

Addresses

Primary practice location

1895 J W Foster Blvd
Fitness Center
Canton, MA 02021-1099

Mailing address

1895 J W Foster Blvd
Fitness Center
Canton, MA 02021-1099
Phone (781) 401-5252

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

LicenseStateTypeSpecialty
009572-1NYMDMassage Therapist

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": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1598948291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 J W FOSTER BLVD",
            "address_2": "FITNESS CENTER",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020211099",
            "telephone_number": "781-401-5252",
            "fax_number": "508-437-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 J W FOSTER BLVD",
            "address_2": "FITNESS CENTER",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020211099",
            "telephone_number": "781-401-5252",
            "fax_number": "508-437-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LMT/CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "009572-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.