Active NPI
Alexa Herrera Condry
- Massage Therapist
- Middlebury, VT
National Provider Identifier
1710770599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 164.0001605
- Practice address
- 99 Maple St
Middlebury, VT 05753-1595 - Phone
- (802) 989-4739
- NPI assigned
- May 26, 2025
- 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 | 164.0001605 | VT | Primary |
Addresses
Primary practice location
99 Maple St
Middlebury, VT 05753-1595
Mailing address
492 North St
Brandon, VT 05733-8765
Phone (802) 989-4739
Other practice location 1
99 Maple St
Middlebury, VT 05753-1595
Phone (802) 989-4739
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 |
|---|---|---|---|
| 164.0001605 | VT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1710770599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 NORTH ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057338765",
"telephone_number": "802-989-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MAPLE ST",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531595",
"telephone_number": "802-989-4739"
}
],
"practiceLocations": [
{
"address_1": "99 Maple St",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "VT",
"postal_code": "057531595",
"country_code": "US",
"telephone_number": "802-989-4739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA CONDRY",
"first_name": "ALEXA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "VT",
"license": "164.0001605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.