Active NPI
Dorothea P. Fong, LMT, NHD
- Massage Therapist
- Wilton, NH
National Provider Identifier
1619116050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1370M
- Practice address
- 43 Main Street 2ND Floor
Wilton, NH 03086-5511 - Phone
- (603) 654-9697
- NPI assigned
- Feb 9, 2009
- 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 | 1370M | NH | Primary |
| Health Service Clinic/Center | 261QH0100X | 1370M | NH |
Addresses
Primary practice location
43 Main Street 2ND Floor
Wilton, NH 03086-5511
Mailing address
42 Pine Valley St
Wilton, NH 03086-5511
Phone (603) 654-9697
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 |
|---|---|---|---|
| 1370M | NH | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1619116050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 PINE VALLEY ST",
"city": "WILTON",
"state": "NH",
"postal_code": "030865511",
"telephone_number": "603-654-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 MAIN STREET 2ND FLOOR",
"city": "WILTON",
"state": "NH",
"postal_code": "030865511",
"telephone_number": "603-654-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "DOROTHEA",
"middle_name": "P.",
"credential": "LMT, NHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NH",
"license": "1370M",
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NH",
"license": "1370M",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.