Sandra Erven, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG008908 Issued in PA

Practice address

12723 Route 19 S
Waterford, PA 16441-9027

Phone

(814) 796-0077

Fax

(814) 796-1717

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heritage Chiropractic Inc

  • Chiropractor
  • Waterford, PA
  • NPI 1487989786
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1881357846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164410077",
            "telephone_number": "814-796-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12723 ROUTE 19 S",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164419027",
            "telephone_number": "814-796-0077",
            "fax_number": "814-796-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Park Row",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "PA",
            "postal_code": "164418308",
            "country_code": "US",
            "telephone_number": "814-796-0077",
            "fax_number": "814-796-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVEN",
        "first_name": "SANDRA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG008908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin C Delong, D.C.
• Douglas P Lichtinger DC Inc
• Carl E Eby, MD
• Julie-Marie Eckert, LBS
• Kelly Lynn Eicher, LPN
• Diane M Feltmeyer, PT
• Fort Leboeuf School District
• Gabrielle Carr LPC
• Peter S Gibson, CCC-SLP
• Jennifer Good, LPC

• Massage Therapist in Waterford, PA
• Providers in Waterford, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.