Active NPI
Stefani Sellers, LMT, BCTMB, MMP
- Massage Therapist
- Saco, ME
National Provider Identifier
1861070682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16636
- Practice address
- 10 Pepperell SQ Ste 203B
Saco, ME 04072-3393 - Phone
- (207) 494-5118
- NPI assigned
- Apr 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16636 | MA | Primary |
Addresses
Primary practice location
10 Pepperell SQ Ste 203B
Saco, ME 04072-3393
Mailing address
10 Pepperell SQ Ste 203B
Saco, ME 04072-3393
Phone (719) 649-2916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844546147 | Other | IRS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1861070682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PEPPERELL SQ STE 203B",
"city": "SACO",
"state": "ME",
"postal_code": "040723393",
"telephone_number": "719-649-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PEPPERELL SQ STE 203B",
"city": "SACO",
"state": "ME",
"postal_code": "040723393",
"telephone_number": "207-494-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "STEFANI",
"credential": "LMT, BCTMB, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "16636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "844546147",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.