Active NPI
Kelly M. Weston, L.M.T.
- Massage Therapist
- Waterville, ME
National Provider Identifier
1639340367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT1733
- Practice address
- 20 Eaton Dr
Waterville, ME 04901-4511 - Phone
- (207) 530-3650
- Fax
- (207) 512-1130
- NPI assigned
- Mar 20, 2008
- 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 | MT1733 | ME | Primary |
Addresses
Primary practice location
20 Eaton Dr
Waterville, ME 04901-4511
Mailing address
13 Hallet St
Chelsea, ME 04330-1034
Phone (207) 626-2940
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 |
|---|---|---|---|
| MT1733 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1639340367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 HALLET ST",
"city": "CHELSEA",
"state": "ME",
"postal_code": "043301034",
"telephone_number": "207-626-2940",
"fax_number": "207-512-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EATON DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014511",
"telephone_number": "207-530-3650",
"fax_number": "207-512-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON",
"first_name": "KELLY",
"middle_name": "M.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT1733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.