Active NPI
Larisa Tipikina, LMT
- Massage Therapist
- Peabody, MA
National Provider Identifier
1730560582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11959
- Practice address
- 10 Centennial Drive
East Entrance
Peabody, MA 01960 - Phone
- (978) 826-7230
- Fax
- (978) 826-1045
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 11959 | MA | Primary |
Addresses
Primary practice location
10 Centennial Drive
East Entrance
Peabody, MA 01960
Mailing address
10 Centennial Drive
East Entrance
Peabody, MA 01960
Phone (978) 826-7230
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 |
|---|---|---|---|
| 11959 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1730560582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DRIVE",
"address_2": "EAST ENTRANCE",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-826-7230",
"fax_number": "978-826-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DRIVE",
"address_2": "EAST ENTRANCE",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-826-7230",
"fax_number": "978-826-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPIKINA",
"first_name": "LARISA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "11959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.