Individual provider Active NPI

Cameron Speed-Henley, BCTMB, LMT, CMLDT

  • Massage Therapist
  • North Dartmouth, MA
National Provider Identifier
1780569020
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18265 Issued in MA
Practice address
49 State Rd
Watuppa BLDG, #101
North Dartmouth, MA 02747
Phone
(508) 426-9180
NPI assigned
Aug 6, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT125330 TX
Massage Therapist 225700000X MT02918 RI
Massage Therapist 225700000X 18265 MA Primary

Addresses

Primary practice location

49 State Rd
Watuppa BLDG, #101
North Dartmouth, MA 02747

Mailing address

912 Dartmouth Woods Dr
Dartmouth, MA 02747-5123
Phone (508) 426-9180

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
18265MAMDMassage Therapist
MT02918RIMDMassage Therapist
MT125330TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1780569020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 DARTMOUTH WOODS DR",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027475123",
            "telephone_number": "508-426-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "address_2": "WATUPPA BLDG, #101",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-426-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEED-HENLEY",
        "first_name": "CAMERON",
        "credential": "BCTMB, LMT, CMLDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT125330",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "MT02918",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "18265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.