Active NPI
September Ann Blake, LMT
- Massage Therapist
- Biddeford, ME
National Provider Identifier
1821711540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT5155
- Practice address
- 6 Wellspring Rd Ste 206
Biddeford, ME 04005-8418 - Phone
- (207) 494-4656
- NPI assigned
- Sep 20, 2022
- 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 | MT5155 | ME | Primary |
Addresses
Primary practice location
6 Wellspring Rd Ste 206
Biddeford, ME 04005-8418
Mailing address
2 Autumn LN
Biddeford, ME 04005-9429
Phone (207) 281-3505
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 |
|---|---|---|---|
| MT5155 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1821711540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 AUTUMN LN",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059429",
"telephone_number": "207-281-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WELLSPRING RD STE 206",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040058418",
"telephone_number": "207-494-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "SEPTEMBER",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT5155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.