Active NPI
Renae Albert, LMT
- Massage Therapist
- Berlin, CT
National Provider Identifier
1760140776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 006087
- Practice address
- 130 Webster Square Rd
Berlin, CT 06037-2329 - Phone
- (860) 890-9011
- NPI assigned
- Dec 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 006087 | CT | Primary |
Addresses
Primary practice location
130 Webster Square Rd
Berlin, CT 06037-2329
Mailing address
90 Rosemont Ave
Bristol, CT 06010-7216
Phone (860) 890-9011
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 |
|---|---|---|---|
| 006087 | CT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1760140776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 ROSEMONT AVE",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060107216",
"telephone_number": "860-890-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 WEBSTER SQUARE RD",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372329",
"telephone_number": "860-890-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "RENAE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CT",
"license": "006087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.