Active NPI
Roberta H Stankiewicz, MSG
- Massage Therapist
- Jenkintown, PA
National Provider Identifier
1699246025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG004101
- Practice address
- 501 Old York Rd Unit 4
Jenkintown, PA 19046-2142 - Phone
- (267) 626-2018
- Fax
- (866) 777-0106
- NPI assigned
- Dec 11, 2018
- Last updated
- Dec 11, 2018
- 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 | MSG004101 | PA | Primary |
Addresses
Primary practice location
501 Old York Rd Unit 4
Jenkintown, PA 19046-2142
Mailing address
501 Old York Rd Unit 4
Jenkintown, PA 19046-2142
Phone (267) 626-2018
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 |
|---|---|---|---|
| MSG004101 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Family Services, LLC | 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.
-
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- Elkins Park, PA
- NPI 1922458108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1699246025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 OLD YORK RD UNIT 4",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462142",
"telephone_number": "267-626-2018",
"fax_number": "866-777-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 OLD YORK RD UNIT 4",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462142",
"telephone_number": "267-626-2018",
"fax_number": "866-777-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKIEWICZ",
"first_name": "ROBERTA",
"middle_name": "H",
"credential": "MSG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG004101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.