Stacie Hamai Oliver, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

003691 Issued in CT

Practice address

167 Broad St
Groton, CT 06340-3644

Phone

(860) 448-6766

Fax

(860) 449-6754

NPI assigned

Aug 13, 2009

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

Other names 1

• Ms. Stacey Hamai Oliver Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1649402371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 BROAD ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403644",
            "telephone_number": "860-448-6766",
            "fax_number": "860-449-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 BROAD ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403644",
            "telephone_number": "860-448-6766",
            "fax_number": "860-449-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "STACIE",
        "middle_name": "HAMAI",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "003691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "OLIVER",
            "middle_name": "HAMAI",
            "prefix": "MS.",
            "credential": "L.M.T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in Groton, CT
• Providers in Groton, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.