Johanne Francine Rousseau-Holt, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

007026 Issued in CT

Practice address

670 Main St S
Woodbury, CT 06798-3738

Phone

(203) 586-1655

NPI assigned

Oct 7, 2017

Last updated

Oct 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507334400000",
    "number": "1861902579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 LITCHFIELD TPKE",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243105",
            "telephone_number": "203-393-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MAIN ST S",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983738",
            "telephone_number": "203-586-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU-HOLT",
        "first_name": "JOHANNE",
        "middle_name": "FRANCINE",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-07",
        "last_updated": "2017-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "007026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverpath Counseling LLC
• Robert S McWilliam MD LLC
• Joseph Roberts III, DC
• Melissa Roberts, D.C
• Michael W Rosen, M.D.
• Gilbert I. Rubin, D.D.S.
• M Louise Ruinen, MSPT
• Jan Saloomey, LPC
• Alissa Santopietro
• Sarah O'Brien LCSW LLC

• Massage Therapist in Woodbury, CT
• Providers in Woodbury, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; 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.