Active NPI
Andrea Lynn Wood
- Massage Therapist
- Cheshire, CT
National Provider Identifier
1871237412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 003995
- Practice address
- 28 S Main St
Cheshire, CT 06410-3163 - Phone
- (203) 271-3296
- NPI assigned
- Apr 20, 2022
- Last updated
- Apr 20, 2022
- 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 | 003995 | CT | Primary |
Addresses
Primary practice location
28 S Main St
Cheshire, CT 06410-3163
Mailing address
7 Bronson Rd
Prospect, CT 06712-1002
Phone (203) 800-1313
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 |
|---|---|---|---|
| 003995 | CT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1871237412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BRONSON RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121002",
"telephone_number": "203-800-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103163",
"telephone_number": "203-271-3296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ANDREA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "003995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.