Active NPI
Kristen McMenamin
- Massage Therapist
- Harleysville, PA
National Provider Identifier
1760977862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG005005
- Practice address
- 439 Main St
Harleysville, PA 19438-4321 - Phone
- (215) 256-1191
- NPI assigned
- Jun 30, 2018
- 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 | MSG005005 | PA | Primary |
Addresses
Primary practice location
439 Main St
Harleysville, PA 19438-4321
Mailing address
439 Main St
Harleysville, PA 19438-4321
Phone (215) 256-1191
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 |
|---|---|---|---|
| MSG005005 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prodigo Day Spa, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530316800000",
"number": "1760977862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 MAIN ST",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194384321",
"telephone_number": "215-256-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 MAIN ST",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194384321",
"telephone_number": "215-256-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMENAMIN",
"first_name": "KRISTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-30",
"last_updated": "2018-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG005005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.