Individual provider Active NPI

Andria Goddard, LMT

  • Massage Therapist
  • North Attleboro, MA
National Provider Identifier
1851990865
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4044 Issued in MA
Practice address
570 Kelley Blvd.
Unit 2B
North Attleboro, MA 02760
Phone
(508) 507-9559
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 4044 MA Primary

Addresses

Primary practice location

570 Kelley Blvd.
Unit 2B
North Attleboro, MA 02760

Mailing address

570 Kelley Blvd.
Unit 2B
North Attleboro, MA 02760
Phone (508) 507-9559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andria@regenerationsmassage.com Direct

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
4044MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1851990865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 KELLEY BLVD.",
            "address_2": "UNIT 2B",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "02760",
            "telephone_number": "508-507-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 KELLEY BLVD.",
            "address_2": "UNIT 2B",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "02760",
            "telephone_number": "508-507-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "ANDRIA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andria@regenerationsmassage.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "570 Kelley Blvd.",
            "address_2": "Unit 2B",
            "city": "North Attleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.