Active NPI
Sakura Staak, LMT
- Massage Therapist
- Lake Ariel, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 008961
- Practice address
- 1008 Cheroquee Ter
Lake Ariel, PA 18436-8032 - Phone
- (203) 685-8222
- NPI assigned
- Dec 6, 2018
- Last updated
- Nov 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | CT | ||
| Massage Therapist | 225700000X | 8961 | CT | |
| Massage Therapist | 225700000X | 008961 | PA | Primary |
Addresses
Primary practice location
1008 Cheroquee Ter
Lake Ariel, PA 18436-8032
Mailing address
1008 Cheroquee Ter
Lake Ariel, PA 18436-8032
Phone (203) 685-8222
Other practice location 1
2030 Straits Tpke Ste 3
Middlebury, CT 06762-1831
Phone (203) 685-8222
Other practice location 2
1255 Middlebury Rd
Middlebury, CT 06762-2333
Phone (203) 577-2095
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 |
|---|---|---|---|
| 8961 | CT | MD | Massage Therapist |
| 008961 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rizza Chiropractic and Wellness, LLC | Single Specialty | Current | Accepting new patients |
| Albert a. Cantito, D.C. PC | Single Specialty | Past | Accepting new patients |
Locations
1255 Middlebury Rd
Middlebury, CT 06762
Phone (203) 528-3972
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Point of Service
- Middlebury, CT
- NPI 1326469057
Single Specialty
-
dba Middlebury Chiropractic & Wellness Center
- Chiropractor
- Middlebury, CT
- NPI 1598906067
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1740751569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 CHEROQUEE TER",
"city": "LAKE ARIEL",
"state": "PA",
"postal_code": "184368032",
"telephone_number": "203-685-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 CHEROQUEE TER",
"city": "LAKE ARIEL",
"state": "PA",
"postal_code": "184368032",
"telephone_number": "203-685-8222"
}
],
"practiceLocations": [
{
"address_1": "2030 Straits Tpke Ste 3",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "CT",
"postal_code": "067621831",
"country_code": "US",
"telephone_number": "203-685-8222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 Middlebury Rd",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "CT",
"postal_code": "067622333",
"country_code": "US",
"telephone_number": "203-577-2095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAAK",
"first_name": "SAKURA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2024-11-13",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "8961",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "008961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ariel, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.