Active NPI
Priscilla Urban, LMT, CDT
- Massage Therapist
- Westbrook, ME
National Provider Identifier
1801024633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT515
- Practice address
- 547 Bridge St
Westbrook, ME 04092-3105 - Phone
- (207) 856-6447
- Fax
- (207) 856-6447
- NPI assigned
- Jul 1, 2009
- 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 | MT515 | ME | Primary |
Addresses
Primary practice location
547 Bridge St
Westbrook, ME 04092-3105
Mailing address
PO Box 1013
Westbrook, ME 04098-1013
Phone (207) 856-6447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048335 | Other | ME | ANTHEM BLUE CROSS BLUE SHIELD OF MAINE |
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 |
|---|---|---|---|
| MT515 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1801024633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1013",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040981013",
"telephone_number": "207-856-6447",
"fax_number": "207-856-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 BRIDGE ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923105",
"telephone_number": "207-856-6447",
"fax_number": "207-856-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "PRISCILLA",
"credential": "LMT, CDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD OF MAINE",
"identifier": "048335",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.