Active NPI
Sharon L Bristol, BCTMB
- Massage Therapist
- West Hartford, CT
National Provider Identifier
1790333177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 000026
- Practice address
- 17 Calvin Rd
West Hartford, CT 06110-2109 - Phone
- (860) 586-7050
- NPI assigned
- Aug 29, 2019
- 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 | 000026 | CT | Primary |
Addresses
Primary practice location
17 Calvin Rd
West Hartford, CT 06110-2109
Mailing address
17 Calvin Rd
West Hartford, CT 06110-2109
Phone (860) 586-7050
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1790333177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CALVIN RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061102109",
"telephone_number": "860-586-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CALVIN RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061102109",
"telephone_number": "860-586-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISTOL",
"first_name": "SHARON",
"middle_name": "L",
"credential": "BCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "000026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.