Active NPI
Geraldine Isabell Markes, L.M.T.,REFLEXOLOGIST
- Massage Therapist
- Pomfret Center, CT
National Provider Identifier
1679711725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 003718
- Practice address
- 79 Mashamoquet Rd
Pomfret Center, CT 06259-1812 - Phone
- (860) 963-0846
- NPI assigned
- Jan 28, 2009
- Last updated
- Jan 28, 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 | 003718 | CT | Primary |
Addresses
Primary practice location
79 Mashamoquet Rd
Pomfret Center, CT 06259-1812
Mailing address
79 Mashamoquet Rd
Pomfret Center, CT 06259-1812
Phone (860) 963-0846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 980003718CT01 | Other | CT | ANTHEM BLUE CROSS |
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 |
|---|---|---|---|
| 003718 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1679711725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MASHAMOQUET RD",
"city": "POMFRET CENTER",
"state": "CT",
"postal_code": "062591812",
"telephone_number": "860-963-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MASHAMOQUET RD",
"city": "POMFRET CENTER",
"state": "CT",
"postal_code": "062591812",
"telephone_number": "860-963-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKES",
"first_name": "GERALDINE",
"middle_name": "ISABELL",
"name_prefix": "Mrs.",
"credential": "L.M.T.,REFLEXOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-28",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "003718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "980003718CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomfret Center, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.