Organization Active NPI

Muscular Therapy Clinic, LLC

  • Massage Therapist
  • Portland, ME
National Provider Identifier
1659585032
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT1476 Issued in ME
Legal business name
MUSCULAR THERAPY CLINIC, LLC
Practice address
97 India St
Portland, ME 04101-4248
Phone
(207) 780-1151
Fax
(207) 347-8098
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mr. Charles Hastings, LMT
Title
Owner, Director
Phone
(207) 780-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT1476 ME Primary

Addresses

Primary practice location

97 India St
Portland, ME 04101-4248

Mailing address

97 India St
Portland, ME 04101-4248
Phone (207) 780-1151

Other names 1

  • CHARLES HASTINGS DBA MUSCULAR THERAPY CLINIC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1659585032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014248",
            "telephone_number": "207-780-1151",
            "fax_number": "207-347-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014248",
            "telephone_number": "207-780-1151",
            "fax_number": "207-347-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCULAR THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "207-780-1151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES HASTINGS DBA MUSCULAR THERAPY CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 24, 2008; 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.