Active NPI
Marlana W Freitas, LMT
- Massage Therapist
- Bennington, VT
National Provider Identifier
1891016820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 160 Benmont Ave
Suite 4
Bennington, VT 05201-1873 - Phone
- (180) 237-9463
- Fax
- (180) 244-5307
- NPI assigned
- Jun 14, 2010
- Last updated
- Mar 28, 2014
- 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 | NU | Primary |
Addresses
Primary practice location
160 Benmont Ave
Suite 4
Bennington, VT 05201-1873
Mailing address
215 Benmont Ave
Suite C
Bennington, VT 05201-1935
Phone (180) 237-9463
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1891016820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BENMONT AVE",
"address_2": "SUITE C",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011935",
"telephone_number": "180-237-9463",
"fax_number": "180-244-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 BENMONT AVE",
"address_2": "SUITE 4",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011873",
"telephone_number": "180-237-9463",
"fax_number": "180-244-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS",
"first_name": "MARLANA",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.