Individual provider Active NPI

Sandra Jeanne Miranda, LMT

  • Massage Therapist
  • Falmouth, MA
National Provider Identifier
1881231652
Registry record updated Nov 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12200 Issued in MA
Practice address
107 Spring Bars Rd
Falmouth, MA 02540-3923
Phone
(508) 360-7546
NPI assigned
Nov 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2019

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 12200 MA Primary

Addresses

Primary practice location

107 Spring Bars Rd
Falmouth, MA 02540-3923

Mailing address

107 Spring Bars Rd
Falmouth, MA 02540-3923
Phone (508) 360-7546

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Massagebook.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
12200MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574899200000",
    "number": "1881231652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SPRING BARS RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403923",
            "telephone_number": "508-360-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SPRING BARS RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403923",
            "telephone_number": "508-360-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "SANDRA",
        "middle_name": "JEANNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-28",
        "last_updated": "2019-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "12200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Massagebook.com",
            "affiliation": "N",
            "endpointDescription": "Booking system online",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Massage Booking System",
            "address_1": "107 Spring Bars Rd",
            "city": "Falmouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025403923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2019; 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.