Active NPI
Nicole C Ditomas, LMT
- Massage Therapist
- Reading, PA
National Provider Identifier
1609209261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 001290
- Practice address
- 4630 Perkiomen Ave
Rear
Reading, PA 19606-3218 - Phone
- (610) 685-1761
- NPI assigned
- Aug 18, 2013
- 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 | 001290 | PA | Primary |
Addresses
Primary practice location
4630 Perkiomen Ave
Rear
Reading, PA 19606-3218
Mailing address
4630 Perkiomen Ave
Rear
Reading, PA 19606-3218
Phone (610) 685-1761
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 |
|---|---|---|---|
| 001290 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elements to Wellness, Inc. | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Massage Therapist
- Reading, PA
- NPI 1467833095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1609209261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 PERKIOMEN AVE",
"address_2": "REAR",
"city": "READING",
"state": "PA",
"postal_code": "196063218",
"telephone_number": "610-685-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 PERKIOMEN AVE",
"address_2": "REAR",
"city": "READING",
"state": "PA",
"postal_code": "196063218",
"telephone_number": "610-685-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITOMAS",
"first_name": "NICOLE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-18",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "001290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.