Active NPI
Mary Magdaline Claridge, LMT
- Massage Therapist
- London, KY
National Provider Identifier
1619294030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- KY-0213
- Practice address
- 649 Meyers Baker Rd
London, KY 40741-3006 - Phone
- (606) 878-0011
- NPI assigned
- Apr 25, 2010
- 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 | KY-0213 | KY | Primary |
Addresses
Primary practice location
649 Meyers Baker Rd
London, KY 40741-3006
Mailing address
100 Tobie LN
London, KY 40741-2642
Phone (606) 524-5738
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 |
|---|---|---|---|
| KY-0213 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272153600000",
"number": "1619294030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TOBIE LN",
"city": "LONDON",
"state": "KY",
"postal_code": "407412642",
"telephone_number": "606-524-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 MEYERS BAKER RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407413006",
"telephone_number": "606-878-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARIDGE",
"first_name": "MARY",
"middle_name": "MAGDALINE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-25",
"last_updated": "2010-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "KY-0213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.