Active NPI
Tracy JH Crawford, LMT
- Massage Therapist
- Bangor, ME
National Provider Identifier
1609601681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT1268
- Practice address
- 277 State St Ste 1a
Bangor, ME 04401-5440 - Phone
- (207) 991-3996
- NPI assigned
- Sep 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Massage Therapist | 225700000X | MT1268 | ME | Primary |
Addresses
Primary practice location
277 State St Ste 1a
Bangor, ME 04401-5440
Mailing address
696 Hudson Rd
Glenburn, ME 04401-1492
Phone (207) 991-3996
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 |
|---|---|---|---|
| MT1268 | ME | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Oak LLC | Massage Therapist | Current | Accepting new patients |
Locations
277 State St
Ste 1A
Bangor, ME 04401
Phone (207) 990-1615
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
- Bangor, ME
- NPI 1851106686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1609601681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 HUDSON RD",
"city": "GLENBURN",
"state": "ME",
"postal_code": "044011492",
"telephone_number": "207-991-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 STATE ST STE 1A",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015440",
"telephone_number": "207-991-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "TRACY",
"middle_name": "JH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-07",
"last_updated": "2025-06-22",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT1268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.