Individual provider Active NPI

Marjorie Anne Skrutski, L.M.T. N.C.L.M.T.

  • Massage Therapist
  • Rochester, MA
National Provider Identifier
1730411919
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
186 Issued in MA
Practice address
12 Marion Rd
Rochester, MA 02770-4123
Phone
(508) 763-8373
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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 186 MA Primary

Addresses

Primary practice location

12 Marion Rd
Rochester, MA 02770-4123

Mailing address

12 Marion Rd
Rochester, MA 02770-4123
Phone (508) 763-8373

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
186MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1730411919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARION RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704123",
            "telephone_number": "508-763-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MARION RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704123",
            "telephone_number": "508-763-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRUTSKI",
        "first_name": "MARJORIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.   N.C.L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.