Individual provider Active NPI

Terri Irizarry, CLMT

  • Massage Therapist
  • Cape May Court House, NJ
National Provider Identifier
1720328396
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00132500 Issued in NJ
Practice address
307 Stone Harbor Blvd Ste 3
Cape May Court House, NJ 08210-2170
Phone
(609) 780-4602
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00132500 NJ Primary

Addresses

Primary practice location

307 Stone Harbor Blvd Ste 3
Cape May Court House, NJ 08210-2170

Mailing address

307 Stone Harbor Blvd Ste 3
Cape May Court House, NJ 08210-2170
Phone (609) 780-4602

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
18KT00132500NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Massage Center 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1720328396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 STONE HARBOR BLVD STE 3",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102170",
            "telephone_number": "609-780-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 STONE HARBOR BLVD STE 3",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102170",
            "telephone_number": "609-780-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "TERRI",
        "credential": "CLMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00132500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.