Active NPI
Michel R Vassallo, M.T.
- Massage Therapist
- Florence, MA
National Provider Identifier
1679710230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6163
- Practice address
- 64 W Farms Rd
Florence, MA 01062-9704 - Phone
- (413) 320-9601
- NPI assigned
- Jan 18, 2009
- 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 | 6163 | MA | Primary |
Addresses
Primary practice location
64 W Farms Rd
Florence, MA 01062-9704
Mailing address
64 W Farms Rd
Florence, MA 01062-9704
Phone (413) 320-9601
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6163 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1679710230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 W FARMS RD",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010629704",
"telephone_number": "413-320-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 W FARMS RD",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010629704",
"telephone_number": "413-320-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSALLO",
"first_name": "MICHEL",
"middle_name": "R",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-18",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "6163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.