Individual provider Active NPI

Mathew James Fenochetti, MT

  • Nurse Massage Therapist (NMT)
  • Manchester, NH
National Provider Identifier
1881265684
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
7247 Issued in NH
Practice address
155 Dow St
Manchester, NH 03101-1299
Phone
(978) 835-2175
NPI assigned
Jul 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X 7247 NH Primary

Addresses

Primary practice location

155 Dow St
Manchester, NH 03101-1299

Mailing address

20 Cottonwood Dr
Dracut, MA 01826-1669
Phone (978) 835-2175

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
7247NHMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1881265684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COTTONWOOD DR",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261669",
            "telephone_number": "978-835-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DOW ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011299",
            "telephone_number": "978-835-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENOCHETTI",
        "first_name": "MATHEW",
        "middle_name": "JAMES",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "NH",
            "license": "7247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.