Active NPI
Stephanie Moniuk, LMT
- Massage Therapist
- Woburn, MA
National Provider Identifier
1669902169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12017
- Practice address
- 4F Henshaw St
Woburn, MA 01801-4624 - Phone
- (781) 780-2480
- NPI assigned
- Jun 15, 2017
- 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 | 12017 | MA | Primary |
Addresses
Primary practice location
4F Henshaw St
Woburn, MA 01801-4624
Mailing address
172 Middle St Apt 506
Lowell, MA 01852-6202
Phone (781) 789-2157
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 |
|---|---|---|---|
| 12017 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Stop Sober LLC | Current | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Lowell, MA
- NPI 1750039715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1669902169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 MIDDLE ST APT 506",
"city": "LOWELL",
"state": "MA",
"postal_code": "018526202",
"telephone_number": "17817892157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4F HENSHAW ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014624",
"telephone_number": "781-780-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONIUK",
"first_name": "STEPHANIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "12017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.