Active NPI
Charisse Nicole Muriel, LMT, RMT
- Massage Therapist
- Manchester, CT
National Provider Identifier
1639414980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 007324
- Practice address
- 100 Tolland Tpke
Suite 201
Manchester, CT 06042-1766 - Phone
- (860) 794-4888
- NPI assigned
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 007324 | CT | Primary |
Addresses
Primary practice location
100 Tolland Tpke
Suite 201
Manchester, CT 06042-1766
Mailing address
192 Hartford Rd
Manchester, CT 06040-5923
Phone (860) 794-4888
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 |
|---|---|---|---|
| 007324 | CT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1639414980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 HARTFORD RD",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405923",
"telephone_number": "860-794-4888",
"fax_number": "860-454-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TOLLAND TPKE",
"address_2": "SUITE 201",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060421766",
"telephone_number": "860-794-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURIEL",
"first_name": "CHARISSE",
"middle_name": "NICOLE",
"credential": "LMT, RMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "007324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.