Individual provider Active NPI

Vera Reed

  • Massage Therapist
  • Stonington, CT
National Provider Identifier
1841648060
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
002494 Issued in CT
Practice address
107 Wilcox Rd
Suite 103
Stonington, CT 06378-2614
Phone
(860) 833-6376
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
Yes

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
002494CTMDFamily Medicine Physician

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 002494 CT
Sports Medicine (Preventive Medicine) Physician 2083S0010X 002494 CT
Massage Therapist 225700000X 002494 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

107 Wilcox Rd
Suite 103
Stonington, CT 06378-2614

Mailing address

2 Center Beach Ave
Old Lyme, CT 06371-2051
Phone (860) 833-6376

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2016.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1841648060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTER BEACH AVE",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063712051",
            "telephone_number": "860-833-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WILCOX RD",
            "address_2": "SUITE 103",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782614",
            "telephone_number": "860-833-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "VERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CT",
            "license": "002494",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CT",
            "license": "002494",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "002494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.