Individual provider Active NPI

Kelly M Seitchik, LMT

  • Massage Therapist
  • Newtown, PA
National Provider Identifier
1730677279
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG008596 Issued in PA
Practice address
11 Friends LN Ste 101
Newtown, PA 18940-1885
Phone
(215) 595-8524
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MSG008596 PA Primary

Addresses

Primary practice location

11 Friends LN Ste 101
Newtown, PA 18940-1885

Mailing address

7 Potters CT
Holland, PA 18966-2673
Phone (215) 595-8524

Other identifiers 1

IdentifierTypeStateIssuer
MSG008596OtherPASTATE MASSAGE THERPIST LICENSE NUMBER

Other names 1

  • Kelly M Seitchik Former name

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
MSG008596PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1730677279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 POTTERS CT",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662673",
            "telephone_number": "215-595-8524",
            "fax_number": "215-595-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN STE 101",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401885",
            "telephone_number": "215-595-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITCHIK",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG008596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE THERPIST LICENSE NUMBER",
            "identifier": "MSG008596",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SEITCHIK",
            "middle_name": "M",
            "credential": "KELLY M CALLAHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.