Individual provider Active NPI

Kennedy Marisa Baggott

  • Massage Therapist
  • Williston, VT
National Provider Identifier
1770414658
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
164.0002127 Issued in VT
Practice address
373 Blair Park Rd Unit 201
Williston, VT 05495-8056
Phone
(860) 798-6988
NPI assigned
May 28, 2026
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 164.0002127 VT Primary

Addresses

Primary practice location

373 Blair Park Rd Unit 201
Williston, VT 05495-8056

Mailing address

88 Morse Dr
Shelburne, VT 05482-6425
Phone (860) 798-6988

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
164.0002127VTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1770414658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MORSE DR",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826425",
            "telephone_number": "860-798-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD UNIT 201",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958056",
            "telephone_number": "860-798-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGOTT",
        "first_name": "KENNEDY",
        "middle_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VT",
            "license": "164.0002127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.