Active NPI
Kyle Edward Botti
- Massage Therapist
- Florence, MA
National Provider Identifier
1750115689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16290
- Practice address
- 320 Riverside Dr Ste 9
Florence, MA 01062-2750 - Phone
- (413) 313-7738
- NPI assigned
- Sep 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 16290 | MA | Primary |
Addresses
Primary practice location
320 Riverside Dr Ste 9
Florence, MA 01062-2750
Mailing address
28 Holyoke St Apt 1
Easthampton, MA 01027-2346
Phone (413) 313-7738
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 |
|---|---|---|---|
| 16290 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1750115689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 HOLYOKE ST APT 1",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010272346",
"telephone_number": "413-313-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 RIVERSIDE DR STE 9",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010622750",
"telephone_number": "413-313-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTI",
"first_name": "KYLE",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "16290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.