Active NPI
Irene Poole
- Massage Therapist
- Middlebury, VT
National Provider Identifier
1902529472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 164.0000175
- Practice address
- 2 Mill St Ste 5
Middlebury, VT 05753-1132 - Phone
- (802) 388-8010
- NPI assigned
- Sep 20, 2022
- Last updated
- Sep 20, 2022
- 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 | 164.0000175 | VT | Primary |
Addresses
Primary practice location
2 Mill St Ste 5
Middlebury, VT 05753-1132
Mailing address
PO Box 1212
Middlebury, VT 05753-5212
Phone (802) 388-8010
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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.0000175 | VT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1902529472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1212",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057535212",
"telephone_number": "802-388-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MILL ST STE 5",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531132",
"telephone_number": "802-388-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "IRENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VT",
"license": "164.0000175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middlebury, VT
- Lindsey E Phillips, PMHNP
- Julia M. Pipiras
- Robert D Pitts, MD
- Planned Parenthood of Northern New England
- Shawna Ploof
- Porter Health Systems, Inc. (Vermont Mail Order Pharmacy)
- Porter Hospital (Porter Hospital Inc dba Middlebury Foot Care)
- Porter Hospital Dba Addison Family Health
- Porter Hospital Dba Cedar Ledge Family Practice
- Porter Hospital Inc (Porter Hospital Inc dba Partners in Palliative and Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.