Mary Ann Beberman, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60819626 Issued in WA

Practice address

11111 Woodchuck LN SE
Port Orchard, WA 98367-8280

Phone

(360) 621-5578

NPI assigned

Dec 19, 2017

Last updated

Dec 19, 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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1871009407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 WOODCHUCK LN SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678280",
            "telephone_number": "360-621-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 WOODCHUCK LN SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678280",
            "telephone_number": "360-621-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBERMAN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60819626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.