Active NPI
Courteney Porter, LMT, CNMT
- Massage Therapist
- Pittsfield, MA
National Provider Identifier
1831510114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-14702
- Practice address
- 2 Federico Dr Ste 108
Pittsfield, MA 01201-5521 - Phone
- (413) 212-2598
- NPI assigned
- Jan 3, 2014
- Last updated
- Nov 9, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 022625 | NY | |
| Massage Therapist | 225700000X | MT-14702 | MA | Primary |
Addresses
Primary practice location
2 Federico Dr Ste 108
Pittsfield, MA 01201-5521
Mailing address
2 Federico Dr Ste 108
Pittsfield, MA 01201-5521
Phone (413) 212-2598
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 |
|---|---|---|---|
| 022625 | NY | MD | Physical Therapist |
| MT-14702 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Suite & Spa Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Kenmore, NY
- NPI 1306260229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1831510114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FEDERICO DR STE 108",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015521",
"telephone_number": "413-212-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FEDERICO DR STE 108",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015521",
"telephone_number": "413-212-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "COURTENEY",
"credential": "LMT, CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "022625",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "MT-14702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.