Active NPI
Alexandria Donlan, MT
- Massage Therapist
- Boston, MA
National Provider Identifier
1902589112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13639
- Practice address
- 55 Court St Ste 320
Boston, MA 02108-2104 - Phone
- (617) 304-5424
- NPI assigned
- Aug 14, 2023
- 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 | 13639 | MA | Primary |
Addresses
Primary practice location
55 Court St Ste 320
Boston, MA 02108-2104
Mailing address
55 Court St Ste 320
Boston, MA 02108-2104
Phone (617) 304-5424
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13639 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1902589112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 COURT ST STE 320",
"city": "BOSTON",
"state": "MA",
"postal_code": "021082104",
"telephone_number": "617-304-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 COURT ST STE 320",
"city": "BOSTON",
"state": "MA",
"postal_code": "021082104",
"telephone_number": "617-304-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONLAN",
"first_name": "ALEXANDRIA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MA",
"license": "13639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.