Atlantis Therapeutic Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

002104 Issued in CT

Legal business name

ATLANTIS THERAPEUTIC MASSAGE LLC

Practice address

46 King Hill Rd
Storrs Mansfield, CT 06268-1759

Phone

(860) 429-8106

NPI assigned

Jul 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Anderson, LMT

Title

Owner

Phone

(860) 429-8106

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlene B Aulten, OWNER

  • Mechanotherapist
  • Storrs, CT
  • NPI 1578805511
  NPD (past)
• Patricia Marble, L.M.T.

  • Massage Therapist
  • Storrs, CT
  • NPI 1124446935
  NPD (past)
• Melanie Morrissette, L.M.T.

  • Mechanotherapist
  • Storrs, CT
  • NPI 1598109563
  NPD (past)

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1619280724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 694",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062680694",
            "telephone_number": "860-429-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 KING HILL RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062681759",
            "telephone_number": "860-429-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-429-8106",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "002104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Robert Ahern, M.S.W., L.C.S.W.
• Aiya Counseling LLC
• Michelle Dayna Allison, LMFT
• Stephen A Anderson, PH.D.
• Patricia M Baker, LCSW
• Susan Bartlett, MA
• Rebecca Barton, LPC
• Erica Thompson Baumgartner, ATC
• Alexis Bermudez, LPN

• Massage Therapist in Storrs Mansfield, CT
• Providers in Storrs Mansfield, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.