Stephanie Lynn Washburn, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT7412 Issued in ME

Practice address

14 Maine St Ste 110
Brunswick, ME 04011-2085

Phone

(207) 219-8590

Fax

(207) 203-9597

NPI assigned

Aug 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heal Massage and Therapy

  • Massage Therapist
  • Brunswick, ME
  • NPI 1033995782
  NPD Authorized official

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1619650975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 110",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112085",
            "telephone_number": "207-219-8590",
            "fax_number": "207-203-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 110",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112085",
            "telephone_number": "207-219-8590",
            "fax_number": "207-203-9597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 US Route 1 Ste S",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747134",
            "country_code": "US",
            "telephone_number": "207-219-8590",
            "fax_number": "207-203-9597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT7412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Walsh, CRNA
• Michaela Walsh, PHD
• Melissa A Walters, PA-C
• Julia B Waltman, LCPC-C
• Scott H Walton, PAC
• Brian Wasser, M.D.
• Kali Ann Waters, NP
• Byron David Watson
• Kim Watson, M.S. CCC-SLP
• Wayfinding Wellness & Therapy

• Massage Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.