Active NPI
Karen I Maiorano, MASSAGE THERAPIST
- Massage Therapist
- Carol Stream, IL
National Provider Identifier
1851882377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227011834
- Practice address
- 798 W Army Trail Rd
Carol Stream, IL 60188-9297 - Phone
- (630) 885-3175
- NPI assigned
- May 21, 2018
- Last updated
- May 21, 2018
- Sex
- Female
- 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 | 227011834 | IL | Primary |
Addresses
Primary practice location
798 W Army Trail Rd
Carol Stream, IL 60188-9297
Mailing address
798 W Army Trail Rd
Carol Stream, IL 60188-9297
Phone (630) 885-3175
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 |
|---|---|---|---|
| 227011834 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physical Medicine LT | 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.
-
- Physical Medicine & Rehabilitation Physician
- Carol Stream, IL
- NPI 1528117090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1851882377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "798 W ARMY TRAIL RD",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601889297",
"telephone_number": "630-885-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 W ARMY TRAIL RD",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601889297",
"telephone_number": "630-885-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIORANO",
"first_name": "KAREN",
"middle_name": "I",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227011834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.