Active NPI
Pornipa Sutthimaitree
- Massage Therapist
- Hyannis, MA
National Provider Identifier
1912254764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5886
- Practice address
- 720 Main St
Hyannis, MA 02601-4301 - Phone
- (508) 333-2001
- NPI assigned
- Aug 11, 2012
- 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 | 5886 | MA | Primary |
Addresses
Primary practice location
720 Main St
Hyannis, MA 02601-4301
Mailing address
677 W Main St
Hyannis, MA 02601-3493
Phone (508) 790-0606
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 |
|---|---|---|---|
| 5886 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344643200000",
"number": "1912254764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 W MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013493",
"telephone_number": "508-790-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026014301",
"telephone_number": "508-333-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTHIMAITREE",
"first_name": "PORNIPA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-11",
"last_updated": "2012-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "5886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.