Sage Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT2354 Issued in ME

Legal business name

SAGE WELLNESS LLC

Practice address

535 Ocean Ave
Suite 1
Portland, ME 04103-4973

Phone

(207) 232-6088

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Melissa Walsh, L.M.T

Title

Manager

Phone

(207) 232-6088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1780097048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE",
            "address_2": "SUITE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE",
            "address_2": "SUITE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034973",
            "telephone_number": "207-232-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-232-6088",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.