Individual provider Active NPI

Amber Fraga, LMT

  • Massage Therapist
  • Manchester, NH
National Provider Identifier
1649630740
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2358M Issued in NH
Practice address
908 Hanover St Ste 3
Manchester, NH 03104-5418
Phone
(603) 765-6776
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2358M NH Primary

Addresses

Primary practice location

908 Hanover St Ste 3
Manchester, NH 03104-5418

Mailing address

215 Prospect St
Manchester, NH 03104-3762
Phone (603) 765-6776

Other practice location 1

55 S Commercial St
Suite 1.5 East Entrance within Be Day Spa
Manchester, NH 03101-2606
Phone (603) 765-6776

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

LicenseStateTypeSpecialty
2358MNHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1649630740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PROSPECT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043762",
            "telephone_number": "603-765-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 HANOVER ST STE 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045418",
            "telephone_number": "603-765-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 S Commercial St",
            "address_2": "Suite 1.5 East Entrance within Be Day Spa",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031012606",
            "country_code": "US",
            "telephone_number": "603-765-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAGA",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "2358M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.