Individual provider Active NPI

Carol Parker, AMMP

  • Massage Therapist
  • Methuen, MA
National Provider Identifier
1659715514
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9326 Issued in MA
Practice address
1 Branch St
Suite 202
Methuen, MA 01844-1923
Phone
(978) 973-0643
Fax
(978) 984-5943
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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 9326 MA Primary

Addresses

Primary practice location

1 Branch St
Suite 202
Methuen, MA 01844-1923

Mailing address

1 Branch St
Suite 202
Methuen, MA 01844-1923
Phone (978) 973-0643

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
9326MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Grass Therapies Detox & Massage LLC Massage Therapist Current Accepting new patients

Locations

1 Branch St
Ste 202
Methuen, MA 01844
Phone (978) 618-5877

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1659715514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRANCH ST",
            "address_2": "SUITE 202",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441923",
            "telephone_number": "978-973-0643",
            "fax_number": "978-984-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRANCH ST",
            "address_2": "SUITE 202",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441923",
            "telephone_number": "978-973-0643",
            "fax_number": "978-984-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CAROL",
        "credential": "AMMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "9326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.