Organization Active NPI

Essential Bodywork

Doing business as Deeper Dive Wellness

  • Massage Therapist
  • Middletown, RI
National Provider Identifier
1679121065
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ESSENTIAL BODYWORK
Doing business as
Deeper Dive Wellness
Practice address
136 W Main Rd
Middletown, RI 02842-4985
Phone
(401) 862-1042
NPI assigned
Aug 28, 2019
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Meredith Ellen Martin, LMT, NTPNPI 1295453132
Title
Ceo
Phone
(401) 862-1042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

136 W Main Rd
Middletown, RI 02842-4985

Mailing address

136 W Main Rd
Middletown, RI 02842-4985
Phone (401) 862-1042

Other names 1

  • Deeper Dive Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

136 W Main Rd
Middletown, RI 02842
Phone (401) 862-1042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1679121065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424985",
            "telephone_number": "401-862-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424985",
            "telephone_number": "401-862-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-862-1042",
        "authorized_official_credential": "LMT, NTP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deeper Dive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.