Individual provider Active NPI

Carolyn Barbero, LMT

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1881207090
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227017869 Issued in IL
Practice address
1723 W Wallen Ave Apt 1
Chicago, IL 60626-6217
Phone
(773) 383-8339
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 227017869 IL Primary

Addresses

Primary practice location

1723 W Wallen Ave Apt 1
Chicago, IL 60626-6217

Mailing address

1723 W Wallen Ave Apt 1
Chicago, IL 60626-6217
Phone (773) 383-8339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Carolyn@chicagomassageguru.com Direct

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

LicenseStateTypeSpecialty
227017869ILMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: carolyn@chicagomassageguru.com

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1881207090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 W WALLEN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266217",
            "telephone_number": "773-383-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 W WALLEN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266217",
            "telephone_number": "773-383-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERO",
        "first_name": "CAROLYN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227017869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carolyn@chicagomassageguru.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1723 W Wallen Ave Apt 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606266217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.