Active NPI
Tanya Lacroix, LMT
- Massage Therapist
- Scarborough, ME
National Provider Identifier
1871949297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT4667
- Practice address
- 144 US Route 1
Scarborough, ME 04074-7219 - Phone
- (207) 885-9415
- Fax
- (207) 885-9419
- NPI assigned
- May 5, 2016
- 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 | MT4667 | ME | Primary |
Addresses
Primary practice location
144 US Route 1
Scarborough, ME 04074-7219
Mailing address
35 Lowell St Apt 6
Portland, ME 04102-2771
Phone (207) 408-7737
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 |
|---|---|---|---|
| MT4667 | ME | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden Dermatology & Mohs Surgery LLC | Past | Accepting new patients | |
| Benjamin Liess ENT LLC | Past | Accepting new patients |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00039
- https://fhir4.healow.com/fhir/r4/ICEGBD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Scarborough, ME
- NPI 1518431642
-
- MOHS-Micrographic Surgery Physician
- Rockport, ME
- NPI 1215440011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1871949297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LOWELL ST APT 6",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022771",
"telephone_number": "207-408-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747219",
"telephone_number": "207-885-9415",
"fax_number": "207-885-9419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACROIX",
"first_name": "TANYA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT4667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.