Active NPI
Devan Pearl Wojcik, LMT
- Massage Therapist
- Portland, ME
National Provider Identifier
1639423106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT2306
- Practice address
- 535 Ocean Ave
Suite 1
Portland, ME 04103-4973 - Phone
- (207) 232-6088
- NPI assigned
- Nov 5, 2012
- 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 | MT2306 | ME | Primary |
Addresses
Primary practice location
535 Ocean Ave
Suite 1
Portland, ME 04103-4973
Mailing address
304 Eastern Promenade Apt 6
Portland, ME 04101-2720
Phone (207) 929-0440
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 |
|---|---|---|---|
| MT2306 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1639423106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 EASTERN PROMENADE APT 6",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012720",
"telephone_number": "207-929-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 OCEAN AVE",
"address_2": "SUITE 1",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041034973",
"telephone_number": "207-232-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCIK",
"first_name": "DEVAN",
"middle_name": "PEARL",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT2306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.