Individual provider Active NPI

Ramon Mascarenas, LMT

  • Massage Therapist
  • Northbrook, IL
National Provider Identifier
1831596899
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.015844 Issued in IL
Practice address
2565 Shermer Rd
Northbrook, IL 60062-6725
Phone
(847) 272-1000
NPI assigned
Nov 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.015844 IL Primary

Addresses

Primary practice location

2565 Shermer Rd
Northbrook, IL 60062-6725

Mailing address

1227 S Old Wilke Rd
Apt 204
Arlington Heights, IL 60005-2973
Phone (773) 419-2727

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

LicenseStateTypeSpecialty
227.015844ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsmart of Illinois, LTD. Past Accepting new patients
Healthsmart of Illinois, LTD. PastSince Jul 1, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1831596899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 S OLD WILKE RD",
            "address_2": "APT 204",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052973",
            "telephone_number": "773-419-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626725",
            "telephone_number": "847-272-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENAS",
        "first_name": "RAMON",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.015844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.