Individual provider Active NPI

Rowena Angela Panlilio

  • Massage Therapist
  • Danbury, CT
National Provider Identifier
1700456613
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
026926-1 Issued in NY
Practice address
9 Eden Dr Unit 6
Danbury, CT 06810-7120
Phone
(203) 770-7383
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 026926 NY
Massage Therapist 225700000X 026926-1 NY Primary

Addresses

Primary practice location

9 Eden Dr Unit 6
Danbury, CT 06810-7120

Mailing address

9 Eden Dr Unit 6
Danbury, CT 06810-7120
Phone (203) 770-7383

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

LicenseStateTypeSpecialty
026926NYMDMassage Therapist
026926-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proclinix Sports Physical Therapy Chiropractic Wellness,PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1700456613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EDEN DR UNIT 6",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107120",
            "telephone_number": "203-770-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EDEN DR UNIT 6",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107120",
            "telephone_number": "203-770-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANLILIO",
        "first_name": "ROWENA",
        "middle_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026926",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026926-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.