Active NPI
Carey Jennifer Wacker, LMT
- Massage Therapist
- Hanover, PA
National Provider Identifier
1699243816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG012465
- Practice address
- 500 George St
Hanover, PA 17331-1452 - Phone
- (717) 632-8211
- NPI assigned
- Nov 6, 2018
- Last updated
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 | MSG012465 | PA | Primary |
Addresses
Primary practice location
500 George St
Hanover, PA 17331-1452
Mailing address
315 Broadway
Carriage House
Hanover, PA 17331
Phone (717) 521-7038
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 |
|---|---|---|---|
| MSG012465 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover YMCA | Massage Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Hanover, PA
- NPI 1528613213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1699243816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 BROADWAY",
"address_2": "CARRIAGE HOUSE",
"city": "HANOVER",
"state": "PA",
"postal_code": "17331",
"telephone_number": "717-521-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GEORGE ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311452",
"telephone_number": "717-632-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACKER",
"first_name": "CAREY",
"middle_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG012465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
- Visiting Nurse Assn of Hanover & Spring Grove
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- Visiting Nurse Assn of Hanover & Spring Grove
- Vladimir Ioffe MD, LLC
- Vna Home Care Plus
- Amanda Harlacher Wagner, LSW
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-5469)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1823)
- Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.