Active NPI
Joshua A Tamblyn, LMT
- Massage Therapist
- Berlin, NH
National Provider Identifier
1801674189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8376
- Practice address
- 54 Mason St
Berlin, NH 03570-2021 - Phone
- (603) 803-3238
- NPI assigned
- Sep 19, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 8376 | NH | Primary |
Addresses
Primary practice location
54 Mason St
Berlin, NH 03570-2021
Mailing address
11 Marne Ave
Berlin, NH 03570-3349
Phone (603) 803-3238
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 |
|---|---|---|---|
| 8376 | NH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1801674189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MARNE AVE",
"city": "BERLIN",
"state": "NH",
"postal_code": "035703349",
"telephone_number": "603-803-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MASON ST",
"city": "BERLIN",
"state": "NH",
"postal_code": "035702021",
"telephone_number": "603-803-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMBLYN",
"first_name": "JOSHUA",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NH",
"license": "8376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.